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Individual

DR. DEREK EGO-OSUALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., MS

Contact information

Practice address
7700 OLD BRANCH AVE, A-204, CLINTON, MD 20735-1628
(240) 244-1013
Mailing address
7700 OLD BRANCH AVE, A-204, CLINTON, MD 20735-1628
(240) 244-1013

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
14162
MD

Other

Enumeration date
06/11/2010
Last updated
01/29/2013
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