| Tadesse Tesfamichael, Dds | |
|
920 N Bascom Ave Suite 1 San Jose CA 95128-1400 | |
| (408) 247-8001 | |
| (408) 247-8004 |
| Full Name | Tadesse Tesfamichael, Dds |
|---|---|
| Speciality | Dentist |
| Location | 920 N Bascom Ave, San Jose, California |
| Authorized Official Name and Position | Tadesse Tesfamichael (DENTIST/OWNER) |
| Authorized Official Contact | 4082478001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tadesse Tesfamichael, Dds 920 N Bascom Ave Suite 1 San Jose CA 95128-1400 Ph: (408) 247-8001 | Tadesse Tesfamichael, Dds 920 N Bascom Ave Suite 1 San Jose CA 95128-1400 Ph: (408) 247-8001 |
| NPI Number | 1033300967 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 04/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033300967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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