NPI | 1962827196 |
---|---|
Former Name | ADERONKE ADEBAYO-DADA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 39047) |
Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: FL HAD 78) |
1223G0001X Dentist, General Practice (Licence: MD 15672) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-02-25 |
Last Update Date | 2022-09-21 |