Individual
BURUK KIDANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5400 PRESTON OAKS RD, DALLAS, TX 75254-8400
(720) 649-7176
Mailing address
13640 E KENTUCKY AVE, AURORA, CO 80012-3531
(720) 649-7176
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
061640321
CO
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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