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Individual

DR. FOLARERA OLANIKE AJOSE-ADEOGUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
5005 RIVERSIDE DR UNIT A, MACON, GA 31210-1121
(478) 284-0161
Mailing address
6244 LAKEVIEW CT, REX, GA 30273-5032
(404) 213-1200

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015575
GA

Other

Enumeration date
03/07/2018
Last updated
01/03/2019
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