| Olu Oyegunwa Dds Pa | |
|
3416 Melrose Rd Fayetteville NC 28304-1610 | |
| (910) 484-5141 | |
| Not Available |
| Full Name | Olu Oyegunwa Dds Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3416 Melrose Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Olu Ayoola Oyegunwa (PRESIDENT) |
| Authorized Official Contact | 9104845141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olu Oyegunwa Dds Pa 3416 Melrose Rd Fayetteville NC 28304-1610 Ph: () - | Olu Oyegunwa Dds Pa 3416 Melrose Rd Fayetteville NC 28304-1610 Ph: (910) 484-5141 |
| NPI Number | 1598186132 |
|---|---|
| Provider Enumeration Date | 12/28/2013 |
| Last Update Date | 12/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598186132 | NPI | - | NPPES |
| 1942561634 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9306 (North Carolina) | Primary |
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