Individual
DR. ANTHONY OLULAJA OLAYIWOLA KOFOWOROLA-KUTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD.,MPH.,BDS
Contact information
Practice address
21434 PROVINCIAL BLVD, KATY, TX 77450-7587
(281) 398-4369
(281) 398-4328
Mailing address
3002 PAXTON HILLS LN, KATY, TX 77494-4061
(336) 354-9314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32432
TX
Other
Enumeration date
09/21/2016
Last updated
11/11/2016
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