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General NPI Number Information
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NPI Number | 1841697729
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Entity Type | Individual
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Provider Name | OMONLEGHO OVBUDE DDS
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Gender | Female
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 01/25/2026
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Provider Practice Location Address
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Address Line | 29645 RANCHO CALIFORNIA RD STE 201
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City | TEMECULA
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State | CA
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Zip | 92591-5285
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Country | US
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Telephone | 951-676-1480
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Fax |
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Provider Business Mailing Address
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Address Line | 352 AMBER PINE ST APT 208
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City | LAS VEGAS
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State | NV
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Zip | 89144-4221
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN21681
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 100122
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN1001466
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License Number State | DC
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