Individual provider · NPI-1
Dr. Susanna Oluwadunni Arowosegbe
Dentist, General Practice · Gardner, MA
NPI number1972290955
StatusActive
Last updated in NPPESSep 7, 2023
Details
- NPI
- 1972290955
- Entity type
- Individual (NPI-1)
- Name
- Dr. Susanna Oluwadunni Arowosegbe
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2023
- Certification date
- Sep 7, 2023
- Last updated
- Sep 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DL15884 | MA | Yes |
| 1223G0001X | Dentist, General Practice | DL15618 | MA |
Other names
- Susanna Oluwadunni Olofintuyi (Former Name)
Practice location
529 Timpany BlvdGardner, MA 01440-3451
Phone 978-878-8100
Mailing address
1132 Arboretum WayCanton, MA 02021-2737
Other practice locations
175 Connors St
Gardner, MA 01440-2637
Gardner, MA 01440-2637
Phone 978-878-8100
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