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NPI Code Detail

MEDICARE: MOYOSOLA AFOLABI DMD

MEDICARE: MOYOSOLA AFOLABI DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDN1859575MA
2122300000XDentist40410TX

General Provider Information

NPI Number : 1689308835
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOYOSOLA AFOLABI DMD
Provider Business Mailing Address
First Line : 7120 COIT RD STE 110
Second Line :
City : PLANO
State : TX
Zip : 75025-2097
Country : US
Telephone Number : 972-208-0333
Fax Number :
Provider Business Practice Location Address
First Line : 7120 COIT RD STE 110
Second Line :
City : PLANO
State : TX
Zip : 75025-2097
Country : US
Telephone Number : 972-208-0333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2022
Last Update Date : 07/19/2024

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Directions to “ MOYOSOLA AFOLABI DMD” Practice Location

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