ELBETHEL DEREJE DEFARE

LYNCHBURG, VA
NPI1033951603
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401419020)
Enumeration Date2024-06-12
Last Update Date2024-07-26
Business Address
Dr. ELBETHEL DEREJE DEFARE DDS
1910 THOMSON DR
LYNCHBURG, VA 24501-1009
Phone number: 434-847-4581
Mailing Address
Dr. ELBETHEL DEREJE DEFARE DDS
43154 ASHLEY GREEN DR
ASHBURN, VA 20148-7045
Phone number: 540-326-1711