| Abraha Family Dentistry | |
|
4201 University Dr Ste 109 Durham NC 27707-2533 | |
| (919) 294-4234 | |
| Not Available |
| Full Name | Abraha Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 4201 University Dr Ste 109, Durham, North Carolina |
| Authorized Official Name and Position | Theodros Araya Abraha (PRESIDENT) |
| Authorized Official Contact | 9192944234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abraha Family Dentistry 4201 University Dr Ste 109 Durham NC 27707-2533 Ph: (919) 294-4234 | Abraha Family Dentistry 4201 University Dr Ste 109 Durham NC 27707-2533 Ph: (919) 294-4234 |
| NPI Number | 1053773614 |
|---|---|
| Provider Enumeration Date | 03/23/2016 |
| Last Update Date | 03/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053773614 | NPI | - | NPPES |
| 5906536 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8332 (North Carolina) | Primary |
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