| Funto Ayanleke Dds | |
|
1116 W Tokay St Ste A Lodi CA 95240-3852 | |
| (209) 333-2554 | |
| Not Available |
| Full Name | Funto Ayanleke Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1116 W Tokay St Ste A, Lodi, California |
| Authorized Official Name and Position | Funto B Ayanleke (OWNER) |
| Authorized Official Contact | 2093332554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Funto Ayanleke Dds 1116 W Tokay St Ste A Lodi CA 95240-3852 Ph: (209) 333-2554 | Funto Ayanleke Dds 1116 W Tokay St Ste A Lodi CA 95240-3852 Ph: (209) 333-2554 |
| NPI Number | 1699376350 |
|---|---|
| Provider Enumeration Date | 11/07/2020 |
| Last Update Date | 06/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699376350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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