Individual
HAREGEWOIN EZEZEW BAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
300 COOL WATER CT, HOPKINSVILLE, KY 42240
(270) 320-8309
Mailing address
2430 WHITFILED RD. APT A, CLARKSVILLE, TN 37040-1138
(404) 725-3375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN014865
GA
1223G0001X
General Practice Dentistry
Primary
10345
KY
Other
Enumeration date
09/02/2014
Last updated
07/17/2019
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