| NPI | 1003077108 |
|---|---|
| Professional Name | AGBOOLA ADESEGUN ADELE-DOHERTY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 4679) |
| Additional Taxonomies | 122300000X Dentist (Licence: DC 5475) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |