Organization
AB DENTAL HUMBLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FUNMI ABOSEDE DMD (OWNER)
(281) 446-6527
Entity
Organization
Contact information
Practice address
9816 MEMORIAL BLVD STE 101, HUMBLE, TX 77338-4205
(281) 446-6527
(281) 446-3619
Mailing address
9816 MEMORIAL BLVD STE 101, HUMBLE, TX 77338-4205
(281) 446-6527
(281) 446-3619
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35070
TSBDE
TX
Enumeration date
06/09/2022
Last updated
06/09/2022
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