Alpha First Dental Clinic P.a

NPI #1720325418 in Tyler, Texas

Provider Information

NPI Number: 1720325418
Entity Type: Organization
Organization Name: Alpha First Dental Clinic P.a
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 15, 2013
Last Updated: Jul 29, 2020

Practice Location

Address: 5605 OLD BULLARD RD STE A
City: Tyler
State: Texas
ZIP Code: 75703-4306
Phone: (903) 747-3919

Authorized Official

Name: DR. OMOWUMI AKHUINI IHIONKHAN, DDS
Title: DENTIST/DIRECTOR
Phone: (903) 242-9777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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