Individual
DR. VIRTUE EBOHI OMERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
9139 WESTOVER HILLS BLVD STE 105, SAN ANTONIO, TX 78251-2889
(210) 640-9457
Mailing address
9139 WESTOVER HILLS BLVD STE 105, SAN ANTONIO, TX 78251-2889
(940) 208-8875
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
39325
TX
1223P0221X
Pediatric Dentistry
Primary
39325
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2021
Last updated
09/20/2024
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