| NPI | 1598498784 |
|---|---|
| Former Name | OLUWASEUN PEROSOLA BANJO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 17837) |
| Additional Taxonomies | 122300000X Dentist (Licence: DC DEN2000185) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2023-07-06 |