Individual
OLUWATOYIN MORENIKE FATOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6725 ANNAPOLIS RD, LANDOVER HILLS, MD 20784-1904
(301) 773-4746
(301) 773-4941
Mailing address
2221 E BIJOU ST STE 1002221E, COLORADO SPRINGS, CO 80909-8008
(719) 576-1850
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15763
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070533400
—
DC
05
—
110636800
—
MD
Enumeration date
04/17/2014
Last updated
06/13/2019
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