Provider Demographics
NPI:1689709974
Name:AKIODE, ESTHER FOLASADE (DDS)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:FOLASADE
Last Name:AKIODE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11335 MAGNOLIA BLVD
Mailing Address - Street 2:SUIT 1A
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601
Mailing Address - Country:US
Mailing Address - Phone:818-755-1588
Mailing Address - Fax:818-755-1838
Practice Address - Street 1:11335 MAGNOLIA BLVD
Practice Address - Street 2:SUIT 1A
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601
Practice Address - Country:US
Practice Address - Phone:818-755-1588
Practice Address - Fax:818-755-1838
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39364122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist