Individual provider · NPI-1

Dr. Augusta Acquaah, DMD

Dentist, Orthodontics and Dentofacial Orthopedics · Oklahoma City, OK

NPI number1124766068
StatusActive
Last updated in NPPESMay 20, 2022

Details

NPI
1124766068
Entity type
Individual (NPI-1)
Name
Dr. Augusta Acquaah
Credential
DMD
Sex
Female
Sole proprietor
No
Enumeration date
May 20, 2022
Certification date
May 20, 2022
Last updated
May 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics251OKYes

Practice location

1024 Sw 104th St
Oklahoma City, OK 73139-2990

Phone 405-703-3527

Mailing address

3915 Gavick Cv
Memphis, TN 38125-2868

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