SearchMaryland1223G0001X

Omoteniola Awofolu, DDS

NPI 1649574203 · on the registry since 2010 · sole proprietor

Practice

Address
3407 Wilkens Ave Ste 205
Baltimore, MD 21229
Phone
(410) 525-0555
Fax
(410) 525-1055
Organisation at this address
Anesthesia Company, Llc
Summit Brachytherapy Llc
St. Agnes Healthcare, Inc.
St. Agnes Healthcare, Inc.
St. Agnes Healthcare, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
60

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-28

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 Maryland