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OLUWASANMI OLORUNTEBI ADEGBOYEGA DDS

Individual Provider (NPI-1) Active

Dentist, General Practice

Provider Information

NPI Number
1831767656
Provider Type
Individual Provider (NPI-1)
Credentials
DDS
Status
Active

Contact & Location

Address
1514 DOCTORS DR, BOSSIER CITY, LA, 711113379
Phone
(318) 841-6023

Specialties & Taxonomies

Dentist, General Practice Primary License: LA #7379

All Addresses

MAILING

1105 ISLAND PARK BLVD APT 801

SHREVEPORT, LA, 711054770

(318) 780-0428

LOCATION

1514 DOCTORS DR

BOSSIER CITY, LA, 711113379

(318) 841-6023