| NPI | 1508418088 |
|---|---|
| Other Name | MIDE OGUNYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 36169) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 36160) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2021-01-14 |