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1215380548
DEREJEW KIFLE TESSEMA
WASHINGTON, DC
NPI
1215380548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: DC DEN1001654)
Additional Taxonomies
122300000X Dentist
(Licence: MD 16062)
Enumeration Date
2016-07-21
Last Update Date
2016-10-12
Business Address
Dr. DEREJEW KIFLE TESSEMA DDS
3912 GEORGIA AVE NW
WASHINGTON, DC 20011-5861
Phone number: 202-483-8196
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Mailing Address
Dr. DEREJEW KIFLE TESSEMA DDS
10621 WHITEROCK CT
LAUREL, MD 20723-1260
Phone number:
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