# ADONAI DENTAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558699744
- **Authorized official:** DR. OLAKUNLE IBITOYE JOHNSON DDS (DENTIST)
- **Authorized official phone:** (404) 918-5942

## Contact information

- **Practice address:** 3210 LOOP 20, \#A6, LAREDO, TX 78043-5009
- **Practice address phone:** (956) 727-8200
- **Mailing address:** 3210 LOOP 20, \#A6, LAREDO, TX 78043-5009
- **Mailing address phone:** (956) 727-8200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 24029 | TX | Yes |

## Other

- **Enumeration date:** 11/26/2009
- **Last updated:** 12/21/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1467616268 | — | TX |