Individual
DR. KIBROM T MEHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
243 CURTISS RD STE 100, BARKSDALE AFB, LA 71110-2425
(318) 456-6555
Mailing address
243 CURTISS RD STE 100, BARKSDALE AFB, LA 71110-2425
(318) 456-6555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8624
TN
Other
Enumeration date
09/29/2006
Last updated
05/16/2024
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