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1033951603
ELBETHEL DEREJE DEFARE
LYNCHBURG, VA
NPI
1033951603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401419020)
Enumeration Date
2024-06-12
Last Update Date
2024-07-26
Business Address
Dr. ELBETHEL DEREJE DEFARE DDS
1910 THOMSON DR
LYNCHBURG, VA 24501-1009
Phone number: 434-847-4581
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Mailing Address
Dr. ELBETHEL DEREJE DEFARE DDS
43154 ASHLEY GREEN DR
ASHBURN, VA 20148-7045
Phone number: 540-326-1711
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