Organization
GULF COAST PEDIATRIC DENTAL SPECIALISTS PLLC
Active
Other names
Gulf Coast Pediatric Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
OLAMIDE OSUNDOLU ATANDA DMD (OWNER)
(352) 333-0909
Entity
Organization
Contact information
Practice address
6318 FM 1488 RD STE 120, MAGNOLIA, TX 77354-2519
(281) 985-9075
(936) 448-9862
Mailing address
3121 BUFFALO SPEEDWAY APT 5307, HOUSTON, TX 77098-1852
(352) 333-0909
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30734
TX
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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