Organization
ETHIO DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMSON HILEYESUES (OWNER)
(617) 714-3431
Entity
Organization
Contact information
Practice address
545 CONCORD AVE, SUITE 7, CAMBRIDGE, MA 02138
(617) 714-3431
(617) 945-1487
Mailing address
545 CONCORD AVE, SUITE 7, CAMBRIDGE, MA 02138
(617) 714-3431
(617) 945-1487
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4KHL
MA
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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