Individual
MR. DAVID OLATUNJI OMOLE
Active
Individual
MR. DAVID OLATUNJI OMOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
117025
ZZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
62170
KS
Other
Enumeration date
04/24/2019
Last updated
08/09/2024
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