Organization
OASIS KIDS DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUWAYEMISI TITILAYO AKINREFON DDS (OWNER)
(410) 929-4791
Entity
Organization
Contact information
Practice address
7708 RITCHIE HWY, GLEN BURNIE, MD 21061-4362
(443) 557-3311
(443) 557-3315
Mailing address
6655 SANTA BARBARA RD UNIT 8771, ELKRIDGE, MD 21075-7531
(410) 929-4791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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