Individual
DR. OLUFEMI A OGUNTOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
252 SQUIRE RD, REVERE, MA 02151-4311
(781) 286-1620
(781) 289-7901
Mailing address
252 SQUIRE RD, REVERE, MA 02151-4311
(781) 286-1620
(781) 289-7901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19363
MA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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