Individual
LEAH MARIAM BERHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3302 GASTON AVE, DALLAS, TX 75246-2013
(214) 828-8100
Mailing address
736 COURSON DR, DESOTO, TX 75115-1433
(214) 566-5516
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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