NPI | 1871780171 |
---|---|
Former Name | OLAITAN M. OKEDIJI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027517) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019027517) |
Enumeration Date | 2007-10-01 |
Last Update Date | 2024-04-03 |