Individual
DR. DEREJEW KIFLE TESSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3912 GEORGIA AVE NW, WASHINGTON, DC 20011-5861
(202) 483-8196
Mailing address
10621 WHITEROCK CT, LAUREL, MD 20723-1260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
16062
MD
122300000X
Dentist
Primary
DEN1001654
DC
Other
Enumeration date
07/21/2016
Last updated
10/12/2016
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