Individual
KRYSTLE MARIA OGUNYEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
250 KENNEDY ST NW, WASHINGTON, DC 20011-5227
(202) 726-5250
(202) 481-1828
Mailing address
250 KENNEDY ST NW, WASHINGTON, DC 20011-5227
(202) 726-5250
(202) 481-1828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
17193
MD
122300000X
Dentist
Primary
DEN1001931
DC
1223G0001X
General Practice Dentistry
DEN1001931
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022372504
—
DC
Enumeration date
02/13/2019
Last updated
03/03/2026
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