Organization
MIDWEST DIRECT MOBILE DENTAL, TAIWO NGO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAIWO NGO DDS (DENTIST OWNER)
(313) 574-8541
Entity
Organization
Contact information
Practice address
7907 QUARRY RD, MAUMEE, OH 43537-9447
(313) 574-8541
Mailing address
7907 QUARRY RD, MAUMEE, OH 43537-9447
(313) 574-8541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2166294
—
OH
Enumeration date
04/24/2025
Last updated
04/24/2025
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