Provider Demographics
NPI:1043369937
Name:OYOLA, MARINEYDA (DMD)
Entity type:Individual
Prefix:DR
First Name:MARINEYDA
Middle Name:
Last Name:OYOLA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 CLARK RD
Mailing Address - Street 2:BLDG Q
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-2301
Mailing Address - Country:US
Mailing Address - Phone:941-922-4948
Mailing Address - Fax:941-922-3299
Practice Address - Street 1:3900 CLARK RD
Practice Address - Street 2:BLDG Q
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-2301
Practice Address - Country:US
Practice Address - Phone:941-922-4948
Practice Address - Fax:941-922-3299
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN162001223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics