Provider Demographics
NPI:1922277532
Name:OYEDOKUN, LAURA CLAUDETTE (CDA)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:CLAUDETTE
Last Name:OYEDOKUN
Suffix:
Gender:F
Credentials:CDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3707 LOCHEARN DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-6361
Mailing Address - Country:US
Mailing Address - Phone:410-944-2777
Mailing Address - Fax:
Practice Address - Street 1:3707 LOCHEARN DR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207-6361
Practice Address - Country:US
Practice Address - Phone:410-944-2777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD6990126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant