Individual
ADEWALE OLAOLU ADEPETU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
754 E 151ST ST, BRONX, NY 10455-3267
(718) 401-5431
(718) 993-4395
Mailing address
686 E 234TH ST, APT. A-11, BRONX, NY 10466-2752
(718) 496-7751
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051093-1
NY
Other
Enumeration date
11/04/2006
Last updated
07/08/2007
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