OrganizationActive
Avalon Dental Center, Inc
NPI 1407629173 · Dental Clinic/Center · Upper Marlboro, MD
Provider details
- NPI number
- 1407629173
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mofolusara Ogunfusika, Dentist(301) 599-0404
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
9614 Pennsylvania Ave
Upper Marlboro, MD 20772-3670
Phone: (301) 599-0404
Fax: (301) 599-1620
Approximate (ZIP-level) locationGet directions
Mailing address
9614 Pennsylvania Ave
Upper Marlboro, MD 20772-3670
Other names (DBA / former)
- Doing business as
- Avalon Dental Center, Inc
Registry dates
- Enumerated
- 2023-11-03
- Last updated
- 2023-11-03
- Certified
- 2023-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.