Individual
DR. OLUWOLE OLUBUNMI FADAHUNSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7611 LITTLE RIVER TPKE STE 101E, ANNANDALE, VA 22003-2630
(703) 634-4195
Mailing address
7611 LITTLE RIVER TPKE STE 101E, ANNANDALE, VA 22003-2630
(703) 634-4195
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401416435
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
16193
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
19032524
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2019016472
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN1001975
DC
Other
Enumeration date
05/11/2015
Last updated
09/15/2022
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