Organization
KINGSLEY MOMODU, DDS & ASSOCIATES, PLLC
Active
Other names
Brite Care Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINGSLEY OISE MOMODU DDS (DENTAL SURGEON/PROPRIETOR)
(443) 762-1987
Entity
Organization
Contact information
Practice address
2901 BREEZEWOOD AVE, SUITE 101, FAYETTEVILLE, NC 28303-5409
(443) 762-1987
Mailing address
2901 BREEZEWOOD AVE, SUITE 101, FAYETTEVILLE, NC 28303-5409
(443) 762-1987
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
#9234
NC
Other
Enumeration date
10/06/2012
Last updated
05/11/2023
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