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Individual

ADESUWA B BELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3177 OCEAN VIEW BLVD, SAN DIEGO, CA 92113-1432
(619) 662-4100
(619) 232-5922
Mailing address
1601 PRECISION PARK LN, SAN DIEGO, CA 92173-1345
(619) 662-4100

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057126
NY
122300000X
Dentist
58654
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04507282
NY
01
057126
LICENSE
NY
Enumeration date
11/10/2009
Last updated
05/24/2022
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