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Organization

BIGWAY FAMILY DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AYODELE OLUROPO IFARAJIMI (DENTIST)
(210) 858-5570
Entity
Organization

Contact information

Practice address
11930 W US HIGHWAY 90 STE 106, SAN ANTONIO, TX 78245-9613
(210) 858-5570
(210) 858-9494
Mailing address
11930 W US HIGHWAY 90 STE 106, SAN ANTONIO, TX 78245-9613
(210) 858-5570
(210) 858-9494

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
384599215
TX
Enumeration date
09/01/2020
Last updated
11/13/2025
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