Individual
PHILIP ONYIRIMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HIGHWAY 84 COUNTY ROAD 0324 #14, TIERRA AMARILLA, NM 87575
(575) 588-7289
Mailing address
PO BOX 250, TIERRA AMARILLA, NM 87575-0250
(469) 233-1987
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DD4657
NM
Other
Enumeration date
03/16/2016
Last updated
10/02/2017
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