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Individual

DR. ADEPITAN OWOSHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(314) 833-2729
Mailing address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(314) 833-2729

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2020029123
MO
122300000X
Dentist
2901022718
MI
122300000X
Dentist
33972
TX
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
2020029123
MO
1223P0106X
Oral and Maxillofacial Pathology Dentistry
33972
TX

Other

Enumeration date
07/12/2018
Last updated
03/04/2025
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