| NPI | 1467629048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUKOLA ODUYELU President 757-563-2670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401008828) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2011-06-06 |