IndividualActive
Philip Onyirimba
NPI 1649631862 · Public Health Dentistry · Tierra Amarilla, NM
Provider details
- NPI number
- 1649631862
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- DD4657 (NM)
Specialties & taxonomies
Dental Providers
Practice location
Highway 84 County Road 0324 #14
Tierra Amarilla, NM 87575
Phone: (575) 588-7289
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 250
Tierra Amarilla, NM 87575-0250
Registry dates
- Enumerated
- 2016-03-16
- Last updated
- 2017-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.