# DR. BIBIANA CHIOMA EZEANOLUE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356570998
- **Gender:** F
- **Credential:** D.M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 28621 | TX | — |
| 122300000X | Dentist | S6-118 | NV | Yes |
| 1223P0221X | Pediatric Dentistry | L1596214 | MI | — |

## Other

- **Enumeration date:** 07/03/2009
- **Last updated:** 12/15/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1356570998 | — | NV |