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Organization
SHEBAH DENTAL PLLC
Active
Organization
SHEBAH DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUWADAYO O OLUWADARA DDS (OWNER)
(310) 954-6377
Entity
Organization
Contact information
Practice address
9160 FM 78, CONVERSE, TX 78109-2039
(210) 998-3013
(210) 579-6484
Mailing address
9160 FM 78, SUITE 1B, CONVERSE, TX 78109-2039
(210) 998-3013
(210) 579-6484
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27453
TX
Other
Enumeration date
05/14/2013
Last updated
04/08/2019
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