Awoniyi, Wilatra

Awoniyi, Wilatra is an sole proprietor health care provider with primary practice located at 2046 Beltline Rd Sw , Decatur AL 35601-5549. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Awoniyi, Wilatra can be contacted via phone (256) 353-0410.

Contact Information

Primary practice address
2046 Beltline Rd Sw Decatur AL 35601-5549
Fax: (256) 353-0649
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3912 Alabama

Profile Details

NPI number 1013030766
LBN Legal business name Awoniyi, Wilatra
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013030766 NPPES
Alabama MEDICAID 000079207

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