Individual
ADEKOREDE JOAN ACHRAF ADECHOUBOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
401 N 11TH ST, RICHMOND, VA 23219-1901
(804) 828-0602
(804) 593-4279
Mailing address
200 E BROAD ST # 980257, RICHMOND, VA 23219-1736
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0442000518
VA
390200000X
Student in an Organized Health Care Education/Training Program
0442000518
VA
Other
Enumeration date
04/08/2024
Last updated
06/22/2025
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