Individual
OLUWADAMILOLA ADETAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3842 S GLENSTONE AVE, SPRINGFIELD, MO 65804-4418
(417) 719-1678
Mailing address
3842 S GLENSTONE AVE, SPRINGFIELD, MO 65804-4418
(417) 719-1678
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2024021944
MO
Other
Enumeration date
06/12/2024
Last updated
06/21/2024
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