| Ndidi Onugha Uka Dds Inc | |
|
3756 Santa Rosalia Dr Ste 517 Los Angeles CA 90008-3656 | |
| (323) 298-7992 | |
| Not Available |
| Full Name | Ndidi Onugha Uka Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 3756 Santa Rosalia Dr Ste 517, Los Angeles, California |
| Authorized Official Name and Position | Ndidi Uka (OWNER) |
| Authorized Official Contact | 3232987992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ndidi Onugha Uka Dds Inc 3756 Santa Rosalia Dr Ste 517 Los Angeles CA 90008-3656 Ph: (323) 298-7992 | Ndidi Onugha Uka Dds Inc 3756 Santa Rosalia Dr Ste 517 Los Angeles CA 90008-3656 Ph: (323) 298-7992 |
| NPI Number | 1790151249 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/19/2015 |
| Medicare PECOS PAC ID | 9931480423 |
|---|---|
| Medicare Enrollment ID | O20161220002584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790151249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 60123 (California) | Primary |
| Provider Name | Ndidi Uka |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1700181880 PECOS PAC ID: 9335457977 Enrollment ID: I20151005003031 |
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