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1376755942
MUSSIE SIBHATU
OAKLAND, CA
NPI
1376755942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 59276)
Additional Taxonomies
122300000X Dentist
(Licence: MI 2901019205)
Enumeration Date
2007-05-04
Last Update Date
2022-02-10
Business Address
MUSSIE SIBHATU DDS
3630 MACARTHUR BLVD
OAKLAND, CA 94619-1328
Phone number: 510-530-3317
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Mailing Address
MUSSIE SIBHATU DDS
3630 MACARTHUR BLVD
OAKLAND, CA 94619-1328
Phone number: 510-530-3317
Copy
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