Individual
TEMITOPE T OMOLEHINWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, DSCD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-6176
Mailing address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(215) 898-6627
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
RFD000025
PA
125Q00000X
Oral Medicine Dentistry
Primary
RFD000025
PA
Other
Enumeration date
06/07/2012
Last updated
01/07/2021
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