# BASIN DENTAL SUITE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952974461
- **Authorized official:** DR. AYOTUNDE OLUYOMI ESHO DDS (DOCTOR)
- **Authorized official phone:** (440) 715-0146

## Contact information

- **Practice address:** 631 E 42ND STREET, ODESSA, TX 79762-7721
- **Practice address phone:** (432) 260-9636
- **Mailing address:** 1403 SAN MIGUEL CT, MIDLAND, TX 79705-2253
- **Mailing address phone:** (440) 715-0146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2021
- **Last updated:** 12/29/2021