Individual
SHIWORKE WOLDESEMAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2440 M ST NW STE 709, WASHINGTON, DC 20037-1496
(202) 750-8718
Mailing address
910 15TH ST NW APT 1002, WASHINGTON, DC 20005-2521
(615) 260-6572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9260
SC
122300000X
Dentist
Primary
DEN2000083
DC
Other
Enumeration date
05/10/2018
Last updated
04/05/2024
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