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Individual

DR. ADELEKE MOWOBI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1 ADMINISTRATION CIR, RIDGECREST, CA 93555-6104
(760) 939-8030
Mailing address
1300 W GRENSHAW ST APT 1, CHICAGO, IL 60607-1042
(619) 847-1746

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019.032621
IL
1223G0001X
General Practice Dentistry
Primary
019.032621
IL

Other

Enumeration date
06/02/2020
Last updated
07/14/2022
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