Individual provider · NPI-1

Buki Ajayi

Dentist, General Practice · Riverside, CA

NPI number1356733190
StatusActive
Last updated in NPPESDec 1, 2021

Details

NPI
1356733190
Entity type
Individual (NPI-1)
Name
Buki Ajayi
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 3, 2015
Certification date
Dec 1, 2021
Last updated
Dec 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice63727CAYes

Practice location

10286 Indiana Ave
Riverside, CA 92503-5357

Phone 951-359-5200

Mailing address

10286 Indiana Ave
Riverside, CA 92503-5357

Phone 951-359-5200

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