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Organization
BEREDED DENTAL PC
Active
Organization
BEREDED DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREJE BEREDED DDS (OWNER)
(301) 420-2211
Entity
Organization
Contact information
Practice address
4813 MARLBORO PIKE, CAPITOL HEIGHTS, MD 20743-5283
(301) 420-2211
Mailing address
4813 MARLBORO PIKE, CAPITOL HEIGHTS, MD 20743-5283
(301) 420-2211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14917
MD
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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