Individual
WILATRA AWONIYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2046 BELTLINE RD SW, DECATUR, AL 35601-5549
(256) 353-0410
(256) 353-0649
Mailing address
2046 BELTLINE RD SW, DECATUR, AL 35601-5549
(256) 353-0410
(256) 353-0649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3912
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000079207
—
AL
Enumeration date
04/09/2007
Last updated
07/09/2007
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