Individual
YODIT BEYENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
6201 OLD KEENE MILL CT, SPRINGFIELD, VA 22152-2324
(703) 569-6644
(703) 569-5951
Mailing address
6201 OLD KEENE MILL CT, SPRINGFIELD, VA 22152-2324
(703) 569-6644
(703) 569-5951
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411010
VA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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