Kingsley Oise Momodu, D.D.S. Valid NPI
Individual provider · Dentist · Fayetteville, NC
- NPI
- 1285919902
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 9234 (NC)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2011-10-13
- Last updated
- 2023-04-12
Practice location
2901 Breezewood Ave Ste 1011
Fayetteville, NC 28303-6040
(443) 762-1987