Derek C. Ego-Osuala LLC

NPI #1780989822 in Clinton, Maryland

Provider Information

NPI Number: 1780989822
Entity Type: Organization
Organization Name: Derek C. Ego-Osuala LLC
Primary Specialty: Dentist - Endodontics
Enumeration Date: Jan 21, 2011
Last Updated: Jan 31, 2013

Practice Location

Address: 7700 OLD BRANCH AVENUE
Address 2: A-204
City: Clinton
State: Maryland
ZIP Code: 20735
Phone: (240) 244-1013

Authorized Official

Name: DR. DEREK EGO-OSUALA, DDS, MS
Title: ENDODONTIST
Phone: (240) 244-1013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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