Individual
IBUKUN O OLAGBEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 COLONIAL RD, HARRISBURG, PA 17112-1900
(717) 545-7400
Mailing address
1199 COLONIAL RD, HARRISBURG, PA 17112-1900
(717) 545-7400
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS037453
PA
1223G0001X
General Practice Dentistry
21294
MA
Other
Enumeration date
06/18/2007
Last updated
07/03/2008
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