Provider Demographics
NPI:1912038787
Name:AKIODE DENTAL CENTER INC
Entity Type:Organization
Organization Name:AKIODE DENTAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:FOLASADE
Authorized Official - Last Name:AKIODE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-755-1588
Mailing Address - Street 1:11335 MAGNOLIA BLVD STE 1A
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-4950
Mailing Address - Country:US
Mailing Address - Phone:818-755-1588
Mailing Address - Fax:818-755-1838
Practice Address - Street 1:11335 MAGNOLIA BLVD STE 1A
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-4950
Practice Address - Country:US
Practice Address - Phone:818-755-1588
Practice Address - Fax:818-755-1838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA393641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty