NPI | 1144557281 |
---|---|
Former Name | ADESUWA OSUNDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 057126) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 58654) |
Enumeration Date | 2009-11-10 |
Last Update Date | 2022-05-24 |