Individual
GOMONNIE B OLEGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
9245 RAINIER AVE S, SEATTLE, WA 98118-5569
(206) 461-6981
(206) 461-8581
Mailing address
PO BOX 3835, SEATTLE, WA 98124-3835
(206) 548-3114
(206) 762-6355
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
IL60949315
WA
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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