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Organization
OLUFEMI FADAHUNSI, DDS, PC
Active
Organization
OLUFEMI FADAHUNSI, DDS, PC
Active
Other names
Wylie Dentistry Company
Organization subpart
No
Provider details
NPI number
Authorized official
OLUFEMI FADAHUNSI DDS (DENTIST/OWNER)
(469) 231-3323
Entity
Organization
Contact information
Practice address
2810 W. FM544, SUITE 100, WYLIE, TX 75098
(800) 888-8888
Mailing address
14667 KELMSCOT DR, FRISCO, TX 75035-7291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000009689
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427497130
INDIVIDUAL NPI
—
Enumeration date
04/30/2018
Last updated
04/30/2018
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