Individual
DR. SAMSON S DEREBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6044 MARTIN LUTHER KING WAY SO, SUITE#101, SEATTLE, WA 98118-3179
(206) 760-9571
(206) 760-9627
Mailing address
6044 MARTIN LUTHER KING WAY SO, SUITE #101, SEATTLE, WA 98118-3179
(206) 760-9571
(206) 760-9627
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00008442
WA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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