Provider Demographics
NPI:1326424557
Name:AJMO, CHRISTIANA COLLIER (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIANA
Middle Name:COLLIER
Last Name:AJMO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 CURLEW RD STE 2D
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-9331
Mailing Address - Country:US
Mailing Address - Phone:727-785-6784
Mailing Address - Fax:727-784-7383
Practice Address - Street 1:2323 CURLEW RD STE 2D
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-9331
Practice Address - Country:US
Practice Address - Phone:727-785-6784
Practice Address - Fax:727-784-7383
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 21415122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist