Individual
ANTONY OKINYI ODHIAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5605 OLD BULLARD RD, TYLER, TX 75703-4306
(903) 747-3919
(903) 747-3923
Mailing address
1499 E MARSHALL AVE, LONGVIEW, TX 75601-6814
(903) 242-9777
(903) 212-4210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24621
TX
Other
Enumeration date
06/12/2009
Last updated
11/05/2016
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