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Individual

ESEOGHENE ERHUVWUYOMA OKUGBAYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
905 N CUMMINGS DR, ALVARADO, TX 76009-3258
(678) 698-1440
Mailing address
905 N CUMMINGS DR, ALVARADO, TX 76009-3258
(678) 698-1440

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
26223
TX
122300000X
Dentist
DN1855156
MA
1223G0001X
General Practice Dentistry
Primary
26223
TX

Other

Enumeration date
06/17/2009
Last updated
05/26/2021
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