Provider Demographics
NPI:1295090686
Name:OGBUEHI, CHINAZOR (DDS)
Entity type:Individual
Prefix:
First Name:CHINAZOR
Middle Name:
Last Name:OGBUEHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8420 S SAM HOUSTON PKWY W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77085-2287
Mailing Address - Country:US
Mailing Address - Phone:713-721-4500
Mailing Address - Fax:
Practice Address - Street 1:8420 S SAM HOUSTON PKWY W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77085-2287
Practice Address - Country:US
Practice Address - Phone:713-721-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28655122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist