Provider Demographics
NPI:1295090389
Name:ATOBAJEUN, OYELOLA OMOWUNMI (DDS)
Entity type:Individual
Prefix:DR
First Name:OYELOLA
Middle Name:OMOWUNMI
Last Name:ATOBAJEUN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LOLA
Other - Middle Name:OMOWUNMI
Other - Last Name:ATOBAJEUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6727 FM 1463 RD STE 200
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7933
Mailing Address - Country:US
Mailing Address - Phone:281-674-8555
Mailing Address - Fax:
Practice Address - Street 1:5607 UVALDE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77049
Practice Address - Country:US
Practice Address - Phone:832-243-6783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX279881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice