Organization
GOLDEN RULE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FOLASHADE OGUNSANYA DDS (DENTIST)
(312) 834-3621
Entity
Organization
Contact information
Practice address
4909 W DIVISION ST, CHICAGO, IL 60651-3161
(773) 378-4608
Mailing address
900 S WESTERN AVE UNIT 5N, CHICAGO, IL 60612-4877
(312) 834-3621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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