| Ethio Dental Care | |
|
545 Concord Ave Suite 7 Cambridge MA 02138 | |
| (617) 714-3431 | |
| (617) 945-1487 |
| Full Name | Ethio Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 545 Concord Ave, Cambridge, Massachusetts |
| Authorized Official Name and Position | Samson Hileyesues (OWNER) |
| Authorized Official Contact | 6177143431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethio Dental Care 545 Concord Ave Suite 7 Cambridge MA 02138 Ph: (617) 714-3431 | Ethio Dental Care 545 Concord Ave Suite 7 Cambridge MA 02138 Ph: (617) 714-3431 |
| NPI Number | 1386997989 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 10/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386997989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4KHL (Massachusetts) | Primary |
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