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Individual

ADESHEWA ODEDINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD, MS

Contact information

Practice address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(708) 543-8960
Mailing address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(708) 543-8960

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019.034325
IL
1223G0001X
General Practice Dentistry
Primary
019.034325
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/31/2023
Last updated
06/15/2023
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