Individual
MR. DAVID OLATUNJI OMOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2301 N WALDRON ST., HUTCHINSON, KS 67502
(620) 663-1141
(620) 663-1373
Mailing address
2301 N WALDRON ST., HUTCHINSON, KS 67502
(620) 663-1141
(620) 663-1373
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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