Provider Demographics
NPI:1952615593
Name:ONWUKA, EMMA CHIOMA ADANMA KALU (DDS)
Entity Type:Individual
Prefix:
First Name:EMMA CHIOMA
Middle Name:ADANMA KALU
Last Name:ONWUKA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:EMMA CHIOMA
Other - Middle Name:A
Other - Last Name:ONWUKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:23614 FAIRPORT HARBOR LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2888
Mailing Address - Country:US
Mailing Address - Phone:310-574-2923
Mailing Address - Fax:
Practice Address - Street 1:17059 STUEBNER AIRLINE RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6210
Practice Address - Country:US
Practice Address - Phone:281-444-3999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE610175011223P0221X
CA611921223P0221X
ORD102721223P0221X
TX376011223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry