Individual
DEBORAH OLUWAKEMI BODUNDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210
(614) 688-3763
Mailing address
1596 HIGHLAND STREET, APT E, COLUMBUS, OH 43201
(614) 589-2203
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
RES.004499
OH
Other
Enumeration date
08/02/2022
Last updated
04/03/2023
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