# TESFAYE A HAILEMARIAM DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Addismile
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659827871
- **Authorized official:** TESFAYE HAILEMARIAM DDS (OWNER/DENTIST)
- **Authorized official phone:** (703) 256-7711

## Contact information

- **Practice address:** 5764 DOW AVE, ALEXANDRIA, VA 22304
- **Practice address phone:** (703) 256-7711
- **Mailing address:** PO BOX 141, BURKE, VA 22009-0141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401410490 | VA | Yes |

## Other

- **Enumeration date:** 08/28/2016
- **Last updated:** 05/17/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 104989 | — | VA |