Individual
DR. KEHINDE BABALOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCHD, MDS
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(207) 221-4715
Mailing address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(207) 221-4715
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
FDN19
ME
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2901602078
MI
Other
Enumeration date
08/04/2016
Last updated
06/21/2024
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