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NPI Code Detail

MEDICARE: DR. OBIORA E. NKWONTA D.D.S.

MEDICARE: DR. OBIORA E. NKWONTA D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryWA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740379155
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OBIORA E. NKWONTA D.D.S.
Provider Business Mailing Address
First Line : 8432 RAINIER AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98118-4655
Country : US
Telephone Number : 206-723-9300
Fax Number : 206-723-9316
Provider Business Practice Location Address
First Line : 8432 RAINIER AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98118-4655
Country : US
Telephone Number : 206-723-9300
Fax Number : 206-723-9316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 07/21/2022

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