Individual
DR. OLANREWAJU OYE SOMEFUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1009 CENTERBROOKE LN, SUFFOLK, VA 23434-8664
(717) 347-8201
Mailing address
4122 RIVER PARK DR, SUFFOLK, VA 23435-3357
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401416127
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401416127
DENTAL LICENSE
VA
Enumeration date
05/06/2013
Last updated
03/04/2020
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