Provider Demographics
NPI:1962194910
Name:SEKONI-OJIKUTU, ZAINAB M
Entity type:Individual
Prefix:DR
First Name:ZAINAB
Middle Name:M
Last Name:SEKONI-OJIKUTU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1544 WASHINGTON AVE # 1
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-8334
Mailing Address - Country:US
Mailing Address - Phone:347-259-8272
Mailing Address - Fax:
Practice Address - Street 1:85 S HARRISON ST STE 103
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1740
Practice Address - Country:US
Practice Address - Phone:347-259-8272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-25
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02975000122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist