| NPI | 1194328203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIBUEZE GEORGE OKORO CEO/Owner 857-269-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2023-05-09 |