Adetona, Omolola
Adetona, Omolola is an sole proprietor health care provider with primary practice located at 9480 Huebner Rd #400, San Antonio TX 78240-1655. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Adetona, Omolola can be contacted via phone (210) 697-3900.Contact Information
Primary practice address
9480 Huebner Rd #400
San Antonio TX 78240-1655
Phone: (210) 697-3900
Fax: (210) 697-3904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 21908 | Texas |
Profile Details
| NPI number | 1033145628 |
|---|---|
| LBN Legal business name | Adetona, Omolola |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Sep 18th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033145628 | NPPES |
| Texas | Other | 21908 | TEXAS DENTAL LICENSE |
| Texas | MEDICAID | 281602701 | TEXAS DENTAL LICENSE |
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