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Search › Indiana › 1223G0001X

Modupe Ogunnusi Sofuye, DMD

NPI 1437644549 · on the registry since 2018

Practice

Address
1290 E Ireland Rd
South Bend, IN 46614
Phone
(574) 299-1400
Organisation at this address
Eyemart Express Llc
Structured Family Home Care Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana