Organization
THEODROS A. ABRAHA DDS PC
Active
Other names
Abraha Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODROS ARAYA ABRAHA DDS (PRESIDENT)
(919) 294-4234
Entity
Organization
Contact information
Practice address
4201 UNIVERSITY DR STE 109, DURHAM, NC 27707-2533
(919) 294-4234
Mailing address
4201 UNIVERSITY DR STE 109, DURHAM, NC 27707-2533
(919) 294-4234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8332
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906536
—
NC
Enumeration date
03/23/2016
Last updated
03/23/2016
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