Individual
ABIMBOLA OLUTIMEHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7860 9TH AVE, PORT ARTHUR, TX 77642-6909
(409) 724-6387
Mailing address
7860 9TH AVE, PORT ARTHUR, TX 77642-6909
(409) 724-6387
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
32621
TX
Other
Enumeration date
05/19/2015
Last updated
04/10/2017
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