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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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