Individual
DR. ABIMBOLA OYINDAMOLA OYENIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, DMD, MSD,MSD
Contact information
Practice address
801 N 2ND ST FRNT 2, PHILADELPHIA, PA 19123-3090
(267) 296-1010
Mailing address
2916 CLEARPOINT PL, LOUISVILLE, KY 40241-6516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS042915
PA
1223P0221X
Pediatric Dentistry
Primary
DS042915
PA
390200000X
Student in an Organized Health Care Education/Training Program
10734
KY
Other
Enumeration date
03/10/2020
Last updated
07/10/2024
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