Organization
4K DENTISTRY PLLC
Active
Other names
4K Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY OLULAJA OLAYIWOLA KOFOWOROLA-KUTI DMD; MPH; BDS; CCRC (CLINICAL DIRECTOR)
(336) 354-9314
Entity
Organization
Contact information
Practice address
21434 PROVINCIAL BLVD, KATY, TX 77450-7587
(281) 398-4369
(281) 398-4328
Mailing address
21434 PROVINCIAL BLVD, KATY, TX 77450-7587
(281) 398-4369
(281) 398-4328
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
32432
TX
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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