Organization
CONVERSE FAMILY COSMETIC & IMPLANT DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA OLAFUSI (CREDENTIAL/ HUMAN RESOURCE MANAGER)
(210) 898-8601
Entity
Organization
Contact information
Practice address
9160 FM 78 STE 1B, CONVERSE, TX 78109-2040
(210) 607-5566
Mailing address
7228 BANDERA RD, SAN ANTONIO, TX 78238-1205
(210) 898-8601
(210) 756-9161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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