Individual
KASSAHUN H HAILU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
11300 ROCKVILLE PIKE STE 711, ROCKVILLE, MD 20852-3011
(303) 770-0123
(301) 770-2877
Mailing address
11300 ROCKVILLE PIKE STE 711, ROCKVILLE, MD 20852-3011
(301) 770-0123
(301) 770-2877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12267
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013173300
—
MD
Enumeration date
12/19/2007
Last updated
12/04/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us