| NPI | 1578735122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREJE LEGESSE BEREDED Owner 202-581-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN1000305) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |