Organization
ITAGEGNEHOU GEDAMU DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ITAGEGNEHOU GEDAMU (OWNER)
(315) 785-9620
Entity
Organization
Contact information
Practice address
20991 ARSENAL STREET RD, WATERTOWN, NY 13601-4552
(315) 785-9620
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
06/20/2023
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