Individual
OLUWABUSAYO LANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12150 ANNAPOLIS RD, GLENN DALE, MD 20769-9183
(301) 249-8000
Mailing address
607 SANDY RIDGE DR, GLEN BURNIE, MD 21061-2084
(443) 306-3525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17090
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
11/16/2022
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