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Individual

DR. OLUWOLE AJAGBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3636 16TH STREET NW, SUITE AG 64, WASHINGTON, DC 20010
(202) 239-7108
(301) 515-7491
Mailing address
3636 16TH ST NW, SUITE AG 64, WASHINGTON, DC 20010-1146
(202) 239-7108
(301) 515-7491

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN5263
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016801200
DC
Enumeration date
02/16/2007
Last updated
12/20/2013
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