MEDICARE: MR. CHRISTOPHER YAKUBU EMUEDUE DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	0023004	TX

General Provider Information

NPI Number	:	1043392996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER YAKUBU EMUEDUE DMD

Provider Business Mailing Address
First Line	:	8005 EDENMORE LN
Second Line	:
City	:	ROWLETT
State	:	TX
Zip	:	75089-4805
Country	:	US
Telephone Number	:	618-420-4313
Fax Number	:

Provider Business Practice Location Address
First Line	:	3616 S LANCASTER RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75216-5629
Country	:	US
Telephone Number	:	214-374-7100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	06/22/2009

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