Provider Demographics
NPI:1013330661
Name:OBORO-ONUORA, HELEN (DDS)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:OBORO-ONUORA
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 1:2260 LINDA AVE SUITE 103
Mailing Address - Street 2:BLISS DENTAL-ODESSA
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79763
Mailing Address - Country:US
Mailing Address - Phone:432-333-4867
Mailing Address - Fax:
Practice Address - Street 1:606 24TH AVE S SUITE 200
Practice Address - Street 2:UMPHYSICIANS DENTAL CLINIC
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454
Practice Address - Country:US
Practice Address - Phone:612-659-8691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-31
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX308631223G0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program