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Organization
THE LIGHT FAMILY DENTAL AND IMPLANT DENTISTRY PLLC
Active
Organization
THE LIGHT FAMILY DENTAL AND IMPLANT DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW AKINDUTIRE (DMD)
(301) 795-5013
Entity
Organization
Contact information
Practice address
8214 FM-78, SUITE 105, CONVERSE, TX 78109
(210) 920-4963
(210) 783-8656
Mailing address
8214 FM-78, SUITE 105, CONVERSE, TX 78109
(210) 920-4963
(210) 783-8656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
11/30/2022
Last updated
12/19/2022
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