Individual
OLUTOYIN AGBELEMOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4458 JONESBORO RD, FOREST PARK, GA 30297-4314
(470) 878-3512
Mailing address
790 GLENWOOD AVE SE STE 210, ATLANTA, GA 30316-2024
(404) 260-4767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN123224
GA
1223G0001X
General Practice Dentistry
Primary
DN123224
GA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/26/2014
Last updated
12/18/2024
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