Individual
DR. JOHN CHUKWUEDUM ANIEMEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
4145 ST CHARLES BAY, SAN ANTONIO, TX 78229-2085
(210) 548-0440
Mailing address
4145 ST CHARLES BAY, SAN ANTONIO, TX 78229-2085
(210) 548-0440
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
24642
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/21/2009
Last updated
06/03/2012
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