Provider Demographics
NPI:1962884908
Name:ADETOSOYE, MULIKAT ADEBIMPE (DMD)
Entity type:Individual
Prefix:DR
First Name:MULIKAT
Middle Name:ADEBIMPE
Last Name:ADETOSOYE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20501 KATY FWY
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1935
Mailing Address - Country:US
Mailing Address - Phone:281-206-7289
Mailing Address - Fax:
Practice Address - Street 1:20501 KATY FWY STE 124
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1940
Practice Address - Country:US
Practice Address - Phone:281-206-7289
Practice Address - Fax:832-321-3957
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-26
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31089122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist