OLUTAYO ODUSANWO, DMD

Dentist - Pediatric Dentistry

Active Individual
NPI: 1821492505

Practice Address

335 PRAIRIE AVE
Providence, RI 02905

Phone: (401) 444-0430

Specialties

Specialty Code Primary License
Dentist 122300000X No DN1856580 (MA)
Dentist - Pediatric Dentistry 1223P0221X Yes DEN03469 (RI)

Frequently Asked Questions

NPI 1821492505 is the National Provider Identifier for OLUTAYO ODUSANWO, DMD, a Dentist - Pediatric Dentistry provider located in Providence, RI. This NPI was enumerated on October 9, 2014.
OLUTAYO ODUSANWO, DMD practices at 335 PRAIRIE AVE, Providence, RI 02905.

Quick Facts

NPI
1821492505
Type
Individual
Enumerated
Oct 9, 2014
Last Updated
Jul 23, 2019

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