Individual
DR. HENRY OHIOMOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
230 MAPLE ST, HOLYOKE, MA 01040-5144
(413) 420-2200
Mailing address
109 THOREAU WAY APT 732, LAWRENCE, MA 01843-3884
(617) 963-9821
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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