Individual
OLUSOLA SOWUNMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
163 FORT EVANS RD NE, LEESBURG, VA 20176-4420
(703) 840-4705
(703) 771-4120
Mailing address
163 FORT EVANS RD NE, LEESBURG, VA 20176-4420
(703) 840-4705
(703) 771-4120
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402206994
VA
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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