Mussie Sibhatu DDS, A Dental Corporation
Dentist in Oakland, CA. Organization (NPI-2).
NPI number1114671997
StatusActive
Last updated in NPPESFeb 9, 2022
Details
- NPI
- 1114671997
- Entity type
- Organization (NPI-2)
- Legal business name
- Mussie Sibhatu DDS, A Dental Corporation
- Organization subpart
- Yes
- Enumeration date
- Feb 9, 2022
- Certification date
- Feb 9, 2022
- Last updated
- Feb 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Laurel Smile Dentistry (Doing Business As)
- Oakland Smile Dentistry (Doing Business As)
Practice location
3630 Macarthur BlvdOakland, CA 94619-1328
Phone 510-530-3317 · Fax 510-530-3370
Mailing address
3147 Telegraph AveOakland, CA 94609-3206
Phone 510-420-1717
Authorized official
Mussie Sibhatu
Dentist Owner
5105201533
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