Individual
OLUSEYI AYANGADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S
Contact information
Practice address
332 DUNES PLAZA, MICHIGAN CITY, IN 46360-7342
(219) 871-7171
Mailing address
332 DUNES PLAZA, MICHIGAN CITY, IN 46360-7342
(219) 871-7171
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12009844
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20013440
—
IN
Enumeration date
09/29/2006
Last updated
07/08/2007
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