| Itagegnehou Gedamu Dmd Pllc | |
|
20991 Arsenal Street Rd Watertown NY 13601-4552 | |
| (315) 785-9620 | |
| Not Available |
| Full Name | Itagegnehou Gedamu Dmd Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20991 Arsenal Street Rd, Watertown, New York |
| Authorized Official Name and Position | Itagegnehou Gedamu (OWNER) |
| Authorized Official Contact | 3157859620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Itagegnehou Gedamu Dmd Pllc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Itagegnehou Gedamu Dmd Pllc 20991 Arsenal Street Rd Watertown NY 13601-4552 Ph: (315) 785-9620 |
| NPI Number | 1326704693 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326704693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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