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Organization
ALPHA FIRST DENTAL CLINIC P.A
Active
Organization
ALPHA FIRST DENTAL CLINIC P.A
Active
Other names
Kindle Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMOWUMI AKHUINI IHIONKHAN DDS (DENTIST/DIRECTOR)
(903) 242-9777
Entity
Organization
Contact information
Practice address
1499 E MARSHALL AVE, LONGVIEW, TX 75601-6814
(903) 242-9777
(903) 242-9778
Mailing address
1499 EAST MARSHALL AVE, LONGVIEW, TX 75601-5433
(903) 242-9777
(903) 242-9778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20172
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154847101
—
TX
Enumeration date
11/19/2007
Last updated
07/29/2020
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