Organization
TAIWO OSUNKOYA DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAIWO MARY OSUNKOYA DMD (SOLO PRACTITIONER)
(410) 479-9466
Entity
Organization
Contact information
Practice address
414 N 6TH STREET, DENTON, MD 21629
(410) 479-9466
(410) 479-9488
Mailing address
PO BOX 369, DENTON, MD 21629
(410) 479-9466
(410) 479-9488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12666
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001159508
—
MD
Enumeration date
02/27/2007
Last updated
08/22/2020
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