Individual
DR. ENDALE MULAT TEFERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
944 NOSTRAND AVE, BROOKLYN, NY 11225-3053
(718) 778-3000
(718) 778-2025
Mailing address
444 VOSE AVE, SOUTH ORANGE, NJ 07079-3033
(973) 275-0748
(718) 778-2025
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042545
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01171255
—
NY
Enumeration date
01/04/2007
Last updated
07/08/2007
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