Individual
OLUMIDE OLAYIWOLA BOLARINWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1517 RIDGESIDE DR, MOUNT AIRY, MD 21771-5285
(301) 829-2220
(301) 829-2229
Mailing address
3808 EL CAMINO PL # 9, ALEXANDRIA, VA 22309-1401
(408) 835-8254
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401415412
VA
122300000X
Dentist
DS041068
PA
1223G0001X
General Practice Dentistry
Primary
16351
MD
Other
Enumeration date
10/12/2016
Last updated
11/20/2020
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