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1649612136
SAMUEL TEKESTE HAGOS
WOODBRIDGE, VA
NPI
1649612136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401414144)
Enumeration Date
2013-07-24
Last Update Date
2013-07-24
Business Address
Dr. SAMUEL TEKESTE HAGOS DDS
13601 OFFICE PL #202
WOODBRIDGE, VA 22192-4213
Phone number: 703-986-0434
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Mailing Address
Dr. SAMUEL TEKESTE HAGOS DDS
2522 CARRIAGE LN APT 2A
FREDERICKSBURG, VA 22401-7914
Phone number: 301-806-1632
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