Oluwafisayo Jebutu
Oluwafisayo Jebutu is a Student in an Organized Health Care Education/Training Program in Champaign, Illinois. Works from 2 locations. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
Champaign, ILNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 3302 Gaston Ave, Dallas, TX 75246-2013 — (214) 828-8215
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019034360 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1992405385 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 6, 2023 |
| Last updated in NPPES | June 9, 2023 |
| Certification date | June 9, 2023 |
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