Provider Demographics
NPI:1043392996
Name:EMUEDUE, CHRISTOPHER YAKUBU (DMD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:YAKUBU
Last Name:EMUEDUE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8005 EDENMORE LN
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-4805
Mailing Address - Country:US
Mailing Address - Phone:618-420-4313
Mailing Address - Fax:
Practice Address - Street 1:3616 S LANCASTER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-5629
Practice Address - Country:US
Practice Address - Phone:214-374-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00230041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice