Individual
ANWAR GEBREMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10 RICHLAND MEDICAL PARK DR STE A, COLUMBIA, SC 29203-6892
(803) 434-6567
Mailing address
9706 BANTING DR, FAIRFAX, VA 22032-2453
(301) 448-5958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401418377
VA
1223G0001X
General Practice Dentistry
Primary
17947
MD
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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