Organization
PRIMWAY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEPEJU IGUN DDS (OWNER/DENTIST)
(210) 685-7420
Entity
Organization
Contact information
Practice address
11345 ALAMO RANCH PKWY STE 202, SAN ANTONIO, TX 78253-6442
(210) 688-9190
Mailing address
16118 SEEKERS ST, SAN ANTONIO, TX 78255-3311
(210) 685-7420
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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