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1164740015
ANITA OGHOGHO IMADOMWANYI
DALLAS, TX
NPI
1164740015
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Former Name
ANITA IMADOMWANYI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 25180)
Enumeration Date
2010-05-16
Last Update Date
2010-05-16
Business Address
Dr. ANITA OGHOGHO IMADOMWANYI D.D.S.
1515 S BUCKNER BLVD STE #223
DALLAS, TX 75217-1760
Phone number: 214-391-6868
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Mailing Address
Dr. ANITA OGHOGHO IMADOMWANYI D.D.S.
533 S ST ANDREWS PL APT #210
LOS ANGELES, CA 90020-5300
Phone number: 214-476-2157
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