Individual
DR. LYDIA OYEGUNWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3416 MELROSE RD, FAYETTEVILLE, NC 28304-1610
(919) 423-3102
Mailing address
3416 MELROSE RD, FAYETTEVILLE, NC 28304-1610
(919) 423-3102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11051
NC
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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