Individual
YOEL EPHREM KIDANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7650 W VIRGINIA AVE UNIT A, LAKEWOOD, CO 80226-3131
(303) 222-0296
Mailing address
7650 W VIRGINIA AVE UNIT A, LAKEWOOD, CO 80226-3131
(303) 222-0296
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00205691
CO
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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