Organization
PEAK FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISEOLUWA ADEBOLA ADEDEJI BDS (DENTIST)
(210) 379-0044
Entity
Organization
Contact information
Practice address
7470 CIMARRON MARKET, BLDG 6 STE 300, EL PASO, TX 79911
(915) 229-6475
Mailing address
6353 CALLE DEL RIO, EL PASO, TX 79912-3436
(210) 379-0044
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427294438
—
TX
Enumeration date
12/16/2018
Last updated
12/16/2018
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