Provider Demographics
NPI:1821586553
Name:OLULEYE DENTAL ASSOCIATES PLLC
Entity Type:Organization
Organization Name:OLULEYE DENTAL ASSOCIATES PLLC
Other - Org Name:EYE STREET DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LILY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-223-3536
Mailing Address - Street 1:1712 I STREET NW
Mailing Address - Street 2:SUITE#812
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-3739
Mailing Address - Country:US
Mailing Address - Phone:202-223-3536
Mailing Address - Fax:202-223-3559
Practice Address - Street 1:1712 I ST NW STE 812
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-3739
Practice Address - Country:US
Practice Address - Phone:202-223-3556
Practice Address - Fax:202-223-3559
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OLULEYE DENTAL ASSOCIATES PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-27
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental