Individual
DR. ADETUNJI ALABI SIJUWADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15281 W 119TH ST, OLATHE, KS 66062-5290
(913) 353-2259
Mailing address
1444 GRAND BLVD APT 1604, KANSAS CITY, MO 64106-2968
(213) 222-5096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61552
KS
1223G0001X
General Practice Dentistry
6815
LA
Other
Enumeration date
08/17/2017
Last updated
08/27/2019
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