Individual
DR. BOLAJI OLUSOLA OGUNDARE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
530 1ST AVE, SUITE 9QQ, NEW YORK, NY 10016-6402
(212) 263-5677
(212) 263-6931
Mailing address
550 1ST AVE, SUITE 9QQ, NEW YORK, NY 10016-6402
(212) 263-5677
(212) 263-6931
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
048685-1
NY
Other
Enumeration date
11/07/2005
Last updated
07/08/2007
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