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Individual

MARCIA PHEMBA MBADU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
4415 66TH ST STE 112, LUBBOCK, TX 79414-4811
(903) 758-3329
Mailing address
3420 MILWAUKEE AVE APT 1701, LUBBOCK, TX 79407-3707
(630) 901-2819

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
38777
TX
390200000X
Student in an Organized Health Care Education/Training Program
DRPM2049
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/25/2019
Last updated
07/26/2023
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