Individual
OSAROBO EHIGIATOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4511 N MAIN ST STE B, ROSWELL, NM 88201-0309
(575) 208-2380
(575) 218-7537
Mailing address
4511 N MAIN ST STE B, ROSWELL, NM 88201-0309
(575) 208-2380
(575) 218-7537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
471786124
NM
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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