Individual
DAWIT KIDANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8555 FERGUSON RD, DALLAS, TX 75228-5343
(214) 320-0892
(214) 320-1118
Mailing address
2413 RESORT DR, HEATH, TX 75126-0975
(469) 878-5963
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
59027
TX
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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