MODUPE MARY OGUNNUSI SOFUYE

SOUTH BEND, IN
NPI1437644549
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12012973A)
Enumeration Date2018-06-30
Last Update Date2018-06-30
Business Address
Dr. MODUPE MARY OGUNNUSI SOFUYE DMD
1290 E IRELAND RD
SOUTH BEND, IN 46614-3474
Phone number: 574-299-1400
Mailing Address
Dr. MODUPE MARY OGUNNUSI SOFUYE DMD
823B SORIN ST
SOUTH BEND, IN 46617-2047
Phone number: 786-619-4170
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