| Tadesse Tesfamichael, Dds, A Professional Corporation | |
|
6580 Hembree Ln Ste 255 Windsor CA 95492-6885 | |
| (707) 836-1202 | |
| Not Available |
| Full Name | Tadesse Tesfamichael, Dds, A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 6580 Hembree Ln Ste 255, Windsor, California |
| Authorized Official Name and Position | Tad Tesfamichael (PRACTICE OWNER) |
| Authorized Official Contact | 7078361202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tadesse Tesfamichael, Dds, A Professional Corporation 6580 Hembree Ln Ste 255 Windsor CA 95492-6885 Ph: (707) 836-1202 | Tadesse Tesfamichael, Dds, A Professional Corporation 6580 Hembree Ln Ste 255 Windsor CA 95492-6885 Ph: (707) 836-1202 |
| NPI Number | 1679076822 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 03/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679076822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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