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Organization
FUNMI ABOSEDE
Active
Organization
FUNMI ABOSEDE
Active
Other names
ABKA Dental
Organization subpart
No
Provider details
NPI number
Authorized official
FUNMI ABOSEDE DMD (OWNER)
(312) 498-9323
Entity
Organization
Contact information
Practice address
424 N VIRGINIA ST, PORT LAVACA, TX 77979-3018
(361) 552-2977
Mailing address
3809 S CONGRESS AVE APT 447, AUSTIN, TX 78704-8035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
11/14/2019
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