Individual
DR. NNENNA NWANYIRIUBA EBODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BDS
Contact information
Practice address
2222 S LINDEN RD, SUITE K, FLINT, MI 48532-5475
(810) 230-9800
(810) 230-9802
Mailing address
2222 S LINDEN RD, SUITE K, FLINT, MI 48532-5475
(810) 230-9800
(810) 230-9802
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901017887
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01002114
HEALTH PLUS INSURANCE ID#
MI
Enumeration date
04/09/2007
Last updated
07/09/2007
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