Individual
AJIKWAGA BATIDO FELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 724-4700
(215) 724-0919
Mailing address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 724-4700
(215) 724-0919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25045
TEXAS LICENSE NUMBER
TX
Enumeration date
01/21/2010
Last updated
12/06/2013
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