| Dereje Bereded Dds,llc | |
|
803 Southern Ave Oxon Hill MD 20745-3462 | |
| (301) 505-2550 | |
| (301) 505-6676 |
| Full Name | Dereje Bereded Dds,llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 803 Southern Ave, Oxon Hill, Maryland |
| Authorized Official Name and Position | Dereje Bereded (MANAGER) |
| Authorized Official Contact | 3015052550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dereje Bereded Dds,llc 803 Southern Ave Oxon Hill MD 20745-3462 Ph: (301) 505-2550 | Dereje Bereded Dds,llc 803 Southern Ave Oxon Hill MD 20745-3462 Ph: (301) 505-2550 |
| NPI Number | 1821377755 |
|---|---|
| Provider Enumeration Date | 08/09/2011 |
| Last Update Date | 07/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821377755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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