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Individual

DR. OLAMIDE OSUNDOLU ATANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
5607 NW 27TH AVE STE 2, MIAMI, FL 33142-2826
(305) 637-6400
(305) 636-5155
Mailing address
5607 NW 27TH AVE STE 1, MIAMI, FL 33142-2826
(305) 805-1700
(305) 805-1715

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
30734
TX
1223P0221X
Pediatric Dentistry
Primary
DN19467
FL
1223P0300X
Periodontics
DN19467
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NPI
1245528686
FL
Enumeration date
07/19/2011
Last updated
02/09/2022
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