Individual
SHOLA DAVID ANIFOWOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2330 W PIERCE ST, CARLSBAD, NM 88220-3514
(888) 988-4066
(888) 988-4066
Mailing address
2050 E ALGONQUIN RD STE 610, SCHAUMBURG, IL 60173-4166
(888) 988-4066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4751
NM
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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