Organization
ADONAI DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLAKUNLE IBITOYE JOHNSON DDS (DENTIST)
(404) 918-5942
Entity
Organization
Contact information
Practice address
3210 LOOP 20, #A6, LAREDO, TX 78043-5009
(956) 727-8200
Mailing address
3210 LOOP 20, #A6, LAREDO, TX 78043-5009
(956) 727-8200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24029
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467616268
—
TX
Enumeration date
11/26/2009
Last updated
12/21/2009
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