DR. Yetunde Fasoro, DDS

NPI #1932508496 in Chippewa Falls, Wisconsin

Provider Information

NPI Number: 1932508496
Entity Type: Individual
Name: DR. Yetunde Fasoro, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 20, 2014
Last Updated: Jun 22, 2023

Practice Location

Address: 850 LAKELAND DR
City: Chippewa Falls
State: Wisconsin
ZIP Code: 54729-1687
Phone: (715) 738-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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