Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 21981 | OH |
NPI | 1104816016 |
---|---|
Provider Name | Dr. Safuratu Yetunde Aranmolate |
First Address | Canton, OH 44709-4005 |
Second Address | Wooster, OH 44691 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 06/06/2018 |