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Individual

DR. IYAYI OMOTESE AIGBOKHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
3060 MITCHELLVILLE RD STE 108, BOWIE, MD 20716-3968
(301) 218-7711
Mailing address
10190 W LOS GATOS DR, PEORIA, AZ 85383-3552

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
17938
MD

Other

Enumeration date
05/22/2023
Last updated
12/09/2024
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