Individual
DR. LOLADE T SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
307 N GREENE ST, WADESBORO, NC 28170-2182
(704) 287-8990
Mailing address
PO BOX 209, LILESVILLE, NC 28091-0209
(704) 287-8990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7323
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899018K
—
NC
Enumeration date
07/02/2007
Last updated
07/09/2008
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