Ajayi, Boladale Wonuola
Ajayi, Boladale Wonuola is an individual health care provider with primary practice located at 12165 Elm St , Princess Anne MD 21853-1358. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ajayi, Boladale Wonuola can be contacted via phone (410) 651-5151.Contact Information
Primary practice address
12165 Elm St
Princess Anne MD 21853-1358
Phone: (410) 651-5151
Fax: (410) 651-4256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 17495 | Maryland |
Profile Details
| NPI number | 1194352237 |
|---|---|
| LBN Legal business name | Ajayi, Boladale Wonuola |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2020 |
| Last updated | Aug 2nd, 2021 - about 4 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 | 1194352237 | NPPES |
| Maryland | MEDICAID | 119591300 |
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