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Organization
MUSSIE SIBHATU DDS INC
Active
Organization
MUSSIE SIBHATU DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSSIE SIBHATU DDS (OWNER/PRESIDENT)
(510) 530-3317
Entity
Organization
Contact information
Practice address
3630 MACARTHUR BLVD, OAKLAND, CA 94619-1328
(510) 530-3317
(510) 530-3370
Mailing address
3630 MACARTHUR BLVD, OAKLAND, CA 94619-1328
(510) 530-3317
(510) 530-3370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
08/16/2023
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