Individual
DR. SENAIT HABTE GEBREWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
400 E DIAMOND AVE, EVANSVILLE, IN 47711-3714
(812) 461-2365
Mailing address
1090 NORTHCHASE PKWY SE, SUITE 290, MARIETTA, GA 30067-6405
(678) 904-5665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011734A
IN
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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