Individual
KINGSLEY OISE MOMODU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2901 BREEZEWOOD AVE STE 1011, FAYETTEVILLE, NC 28303-6040
(443) 762-1987
(910) 779-1099
Mailing address
2901 BREEZEWOOD AVE STE 1011, FAYETTEVILLE, NC 28303-6040
(443) 762-1987
(910) 779-1099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9234
NC
Other
Enumeration date
10/13/2011
Last updated
04/12/2023
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