Individual
DR. BIBIANA CHIOMA EZEANOLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1750 WHEELER PEAK DR, LAS VEGAS, NV 89106-2150
(702) 272-1100
(702) 998-0675
Mailing address
1750 WHEELER PEAK DR, LAS VEGAS, NV 89106-2150
(702) 272-1100
(702) 998-0675
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
28621
TX
122300000X
Dentist
Primary
S6-118
NV
1223P0221X
Pediatric Dentistry
L1596214
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356570998
—
NV
Enumeration date
07/03/2009
Last updated
12/15/2016
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