Individual
DR. ADELANI ABIMBOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2851 COBB PKWY NW STE 208, KENNESAW, GA 30152-2717
(770) 422-9445
(770) 422-9445
Mailing address
2851 COBB PKWY NW STE 208, KENNESAW, GA 30152-2717
(770) 422-9445
(770) 422-9892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12758
GA
1223G0001X
General Practice Dentistry
Primary
12758
GA
Other
Enumeration date
11/21/2006
Last updated
03/08/2021
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