Individual
ANGELA OGUNSUYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 GEORGETOWN DR, MANALAPAN, NJ 07726-3606
(732) 216-7003
Mailing address
10 GEORGETOWN DR, MANALAPAN, NJ 07726-3606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
058856
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2015
Last updated
09/29/2016
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