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176 Gulf Fwy S League City TX 77573-3792 | |
(832) 620-8516 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 176 Gulf Fwy S, League City, Texas |
Authorized Official Name and Position | Oreoluwa Anuoluwapo Adegun (GENERAL DENTIST) |
Authorized Official Contact | 8326208516 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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12435 Adams Ridge Ln Humble TX 77346-1869 Ph: (832) 620-8516 | 176 Gulf Fwy S League City TX 77573-3792 Ph: (832) 620-8516 |
NPI Number | 1487256392 |
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Provider Enumeration Date | 11/15/2020 |
Last Update Date | 11/17/2020 |
Identifier | Type | State | Issuer |
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1487256392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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