Individual
AYODEJI C JARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
156 RITCHIE HWY, SEVERNA PARK, MD 21146-1129
(410) 647-1800
Mailing address
PO BOX 842, REISTERSTOWN, MD 21136-0842
(410) 647-1800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14313
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14313
STATE LICENSE
MD
Enumeration date
01/08/2008
Last updated
01/08/2008
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