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Organization
TADESSE TESFAMICHAEL, DDS, A PROFESSIONAL CORPORATION
Active
Organization
TADESSE TESFAMICHAEL, DDS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAD TESFAMICHAEL DDS (PRACTICE OWNER)
(707) 836-1202
Entity
Organization
Contact information
Practice address
6580 HEMBREE LN STE 255, WINDSOR, CA 95492-6885
(707) 836-1202
Mailing address
6580 HEMBREE LN STE 255, WINDSOR, CA 95492-6885
(707) 836-1202
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
03/16/2018
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