Individual
DR. OSAHON CLEMENT IZEVBIGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1710 W JOE HARVEY BLVD STE B, HOBBS, NM 88240-0821
(575) 738-0335
Mailing address
870 W ADAMS BLVD APT 41, LOS ANGELES, CA 90007-2517
(205) 427-4828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001409-15
WI
1223G0001X
General Practice Dentistry
DB-2023-0155
NM
Other
Enumeration date
07/03/2023
Last updated
02/19/2024
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