Individual
DR. OLUWASEGUN OLUWAFISAYO OLABODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
16000 PARK VALLEY DR STE 160, ROUND ROCK, TX 78681-4009
(512) 651-0444
Mailing address
16000 PARK VALLEY DR STE 160, AUSTIN, TX 78681-4009
(512) 651-0444
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
34264
TX
Other
Enumeration date
04/12/2012
Last updated
02/20/2020
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