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1831767656
OLUWASANMI OLORUNTEBI ADEGBOYEGA
BOSSIER CITY, LA
NPI
1831767656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 7379)
Enumeration Date
2021-06-17
Last Update Date
2022-09-15
Business Address
OLUWASANMI OLORUNTEBI ADEGBOYEGA DDS
1514 DOCTORS DR
BOSSIER CITY, LA 71111-3379
Phone number: 318-841-6023
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Mailing Address
OLUWASANMI OLORUNTEBI ADEGBOYEGA DDS
1105 ISLAND PARK BLVD APT 801
SHREVEPORT, LA 71105-4770
Phone number: 318-780-0428
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