Organization
ASSEFA DEMEWOZ DDS PLLC
Active
Other names
Desired Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASSEFA DEMEWOZ DDS (OWNER)
(703) 348-6969
Entity
Organization
Contact information
Practice address
7746 GUNSTON PLZ, LORTON, VA 22079-1897
(703) 348-6969
(540) 808-1580
Mailing address
7746 GUNSTON PLZ, LORTON, VA 22079-1897
(703) 348-6969
(540) 808-1580
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401413725
VA
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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