Okundaye, Amanda Jo
Okundaye, Amanda Jo is an sole proprietor health care provider with primary practice located at 11970 Montana Ave Apt 208 , Los Angeles CA 90049-5043. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dentist Anesthesiologist. Dental Providers / Dentist Anesthesiologist is her primary health care specialty. Okundaye, Amanda Jo can be contacted via phone (310) 486-6656.Contact Information
Primary practice address
11970 Montana Ave Apt 208
Los Angeles CA 90049-5043
Phone: (310) 486-6656
Fax: (424) 208-3232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 56779 | California |
| Dental Providers / Dentist Anesthesiologist | 1223D0004X | 56779 | California |
| Dental Providers / Dentist Anesthesiologist | 1223D0004X | 5993 | Nevada |
Profile Details
| NPI number | 1700044781 |
|---|---|
| LBN Legal business name | Okundaye, Amanda Jo |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2008 |
| Last updated | May 20th, 2013 - 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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