Individual
DR. IRENE EBUNOLUWA APATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1631 CROFTON CTR, CROFTON, MD 21114-1343
(410) 774-0221
(410) 774-0251
Mailing address
9199 REISTERSTOWN RD STE 203A, OWINGS MILLS, MD 21117-4514
(410) 356-8572
(410) 356-8574
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
15030
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D76904
CDS
MD
Enumeration date
06/18/2012
Last updated
09/11/2023
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