Individual
DR. ANGESOM BERHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
350 N CLARK ST, STE 600, C/O KOS SERVICES, CHICAGO, IL 60654
(312) 274-4526
Mailing address
350 N CLARK ST, STE 600, C/O KOS SERVICES, CHICAGO, IL 60654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022018
MI
Other
Enumeration date
06/07/2016
Last updated
07/05/2016
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