Individual
DR. EZINNE I OGBUREKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7500 CAMBRIDGE STREET, SOD 5330, HOUSTON, TX 77054
(713) 486-4261
(713) 486-4108
Mailing address
1120 15TH ST, GC-1024, AUGUSTA, GA 30912-0004
(706) 721-9633
(706) 723-0266
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29596
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407206506B
—
GA
05
—
ZG3258
—
SC
Enumeration date
07/05/2006
Last updated
12/15/2017
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