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NPI Code Detail

MEDICARE: BUKI ENTERPRISES LLC

MEDICARE: BUKI ENTERPRISES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry21619TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801941273
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUKI ENTERPRISES LLC
Provider Business Mailing Address
First Line : 2679 WALNUT HILL LN
Second Line :
City : DALLAS
State : TX
Zip : 75229-5615
Country : US
Telephone Number : 214-383-3339
Fax Number :
Provider Business Practice Location Address
First Line : 2679 WALNUT HILL LN
Second Line :
City : DALLAS
State : TX
Zip : 75229-5615
Country : US
Telephone Number : 214-383-3339
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. OLUBUKOLA OLAPEJU ONIMISI
Credential : DDS
Telephone Number : 214-352-3368
Provider Enumeration Date : 01/24/2007
Last Update Date : 08/22/2020

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Directions to “BUKI ENTERPRISES LLC ” Practice Location

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