| Shebah Dental Pllc | |
|
9160 Fm 78 Converse TX 78109-2039 | |
| (210) 998-3013 | |
| (210) 579-6484 |
| Full Name | Shebah Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 9160 Fm 78, Converse, Texas |
| Authorized Official Name and Position | Oluwadayo O Oluwadara (OWNER) |
| Authorized Official Contact | 3109546377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shebah Dental Pllc 9160 Fm 78 Suite 1b Converse TX 78109-2039 Ph: (210) 998-3013 | Shebah Dental Pllc 9160 Fm 78 Converse TX 78109-2039 Ph: (210) 998-3013 |
| NPI Number | 1629414941 |
|---|---|
| Provider Enumeration Date | 05/14/2013 |
| Last Update Date | 04/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629414941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 27453 (Texas) | Primary |
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