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General NPI Number Information
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NPI Number | 1043131857
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Entity Type | Organization
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Legal Business Name | OGUNJIMI DENTAL HOLDINGS PLLC
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Dates
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Enumeration Date | 07/25/2026
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Last Update Date | 07/25/2026
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Provider Practice Location Address
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Address Line | 206 BALLARDVALE ST
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City | WILMINGTON
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State | MA
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Zip | 01887-1044
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Country | US
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Telephone | 617-690-8140
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Fax |
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Provider Business Mailing Address
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Address Line | 111 MIDDLESEX TPKE # 1097
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City | BURLINGTON
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State | MA
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Zip | 01803-4905
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OLUBIYI OGUNJIMI
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Credential | DDS
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Telephone | 617-690-8140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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