Provider Demographics
NPI:1548950462
Name:I-SALAMI, BLESSING ANU-OLUWAPO (DDS)
Entity type:Individual
Prefix:DR
First Name:BLESSING
Middle Name:ANU-OLUWAPO
Last Name:I-SALAMI
Suffix:
Gender:F
Credentials:DDS
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Other - Credentials:
Mailing Address - Street 1:THE DENTAL CENTER MISHAWAKA
Mailing Address - Street 2:112 IRONWORKS AVE B1
Mailing Address - City:MISHAWAKA
Mailing Address - State:IN
Mailing Address - Zip Code:46544-2058
Mailing Address - Country:US
Mailing Address - Phone:574-255-4964
Mailing Address - Fax:574-254-0012
Practice Address - Street 1:THE DENTAL CENTER MISHAWAKA
Practice Address - Street 2:112 IRONWORKS AVE B1
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46544-2058
Practice Address - Country:US
Practice Address - Phone:574-255-4964
Practice Address - Fax:574-254-0012
Is Sole Proprietor?:No
Enumeration Date:2023-05-12
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN12014276A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist