Fasoro, Yetunde

Fasoro, Yetunde is an sole proprietor health care provider with primary practice located at 850 Lakeland Dr , Chippewa Falls WI 54729-1687. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Fasoro, Yetunde can be contacted via phone (715) 738-2000.

Contact Information

Primary practice address
850 Lakeland Dr Chippewa Falls WI 54729-1687
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN014857 Georgia
Dental Providers / Dentist 122300000X 1001171-15 Wisconsin

Profile Details

NPI number 1932508496
LBN Legal business name Fasoro, Yetunde
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2014
Last updated Jun 22nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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