Individual
TAIWO MARY OSUNKOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.LLC
Contact information
Practice address
414 N 6TH ST, DENTON, MD 21629-1356
(410) 479-9466
(410) 479-9488
Mailing address
414 N 6TH ST, DENTON, MD 21629-1356
(410) 479-9466
(410) 479-9488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12666
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001159508
—
DE
05
—
0001159508
—
MD
Enumeration date
04/23/2007
Last updated
07/08/2007
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