Okundaye, Otabor Enata
Okundaye, Otabor Enata is an individual health care provider with primary practice located at 6900 Pecos Rd , North Las Vegas NV 89086-4400. He recently has 2 registered licenses in different health care specialties including Dental Providers / Prosthodontics, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Okundaye, Otabor Enata can be contacted via phone (702) 791-9019.Contact Information
Primary practice address
6900 Pecos Rd
North Las Vegas NV 89086-4400
Phone: (702) 791-9019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 054198-1 | New York |
| Dental Providers / General Practice | 1223G0001X | 054198-1 | New York |
Profile Details
| NPI number | 1740580059 |
|---|---|
| LBN Legal business name | Okundaye, Otabor Enata |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2010 |
| Last updated | Jul 10th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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