<Unavail>

LBN: Omoteniola Awofolu Dds. Llc
<Unavail> is an health care organization with primary practice located at 3407 Wilkens Ave Suite 205, Baltimore MD 21229-5072. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Omoteniola Awofolu Dds. Llc can be contacted via phone (410) 525-0555, or through Awofolu, Omoteniola via phone (410) 525-0555.

Contact Information

Primary practice address
3407 Wilkens Ave Suite 205 Baltimore MD 21229-5072
Phone: (410) 525-0555
Fax: (410) 525-1055
Website:
Map and Directions
Authorized official contact:
Name: Awofolu, Omoteniola Doctor of Dental Surgery (DDS)
Phone: (410) 525-0555

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 14929 Maryland

Profile Details

NPI number 1417379777
LBN Legal business name Omoteniola Awofolu Dds. Llc
DBA Doing business as <Unavail>
Authorized official Awofolu, Omoteniola Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2014
Last updated Jan 6th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417379777 NPPES
Maryland MEDICAID 051736400

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