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Individual

DR. HENRY OHIOMOBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BDS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DL11683
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
33522
TX

Other

Enumeration date
08/03/2012
Last updated
02/12/2018
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