Individual
OLUWADAMILOLA OMODELE AJAGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
44 SAINT CROIX TRL S STE 100, LAKELAND, MN 55043-9657
(651) 436-5177
Mailing address
2817 S COOPER ST APT 2311, ARLINGTON, TX 76015-2465
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13899
MN
1223G0001X
General Practice Dentistry
34948
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34948
TEXAS BOARD OF DENTAL EXAMINERS
TX
01
—
D13899
MINNESOTA BOARD OF DENTISTRY
MN
Enumeration date
07/21/2017
Last updated
12/13/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us