Provider Demographics
NPI:1891122115
Name:NWOBU, GABRIELA AKUABIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:AKUABIA
Last Name:NWOBU
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 1:3912 PALLAS WAY
Mailing Address - Street 2:APT 2G
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-3626
Mailing Address - Country:US
Mailing Address - Phone:917-538-9079
Mailing Address - Fax:
Practice Address - Street 1:900 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-7918
Practice Address - Country:US
Practice Address - Phone:336-370-1112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC96091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice