Provider Demographics
NPI:1922086057
Name:ORIOLA, ADEFUNMILOLA (DDS)
Entity Type:Individual
Prefix:
First Name:ADEFUNMILOLA
Middle Name:
Last Name:ORIOLA
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 1:1909 N. WATERMAN AVENUE
Mailing Address - Street 2:4
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92404
Mailing Address - Country:US
Mailing Address - Phone:909-478-9363
Mailing Address - Fax:
Practice Address - Street 1:1909 N WATERMAN AVE
Practice Address - Street 2:4
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-4842
Practice Address - Country:US
Practice Address - Phone:909-881-7231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA518341223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry