DR. Bolanle Maryam Balogun, DDS
NPI #1730591686 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1730591686
- Entity Type
- Individual
- Name
- DR. Bolanle Maryam Balogun, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- May 27, 2014
- Last Updated
- May 27, 2014
Practice Location
- Address
- 2505 LAPORTE AVE
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-6994
- Phone
- (219) 246-5703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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