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Individual

DR. ABIMBOLA OYINDAMOLA OYENIYI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BDS, DMD, MSD,MSD

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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