Dr. Dereje Legesse Bereded, DDS
Dentist, General Practice in Washington, DC. Individual provider (NPI-1).
NPI number1265415251
StatusActive
Last updated in NPPESJun 10, 2016
Details
- NPI
- 1265415251
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dereje Legesse Bereded
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2005
- Last updated
- Jun 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 1000305 | DC | Yes |
Practice location
2837 Alabama Ave SeWashington, DC 20020
Phone 202-581-7600 · Fax 202-581-7061
Mailing address
2837 Alabama Ave SeWashington, DC 20020
Phone 202-581-7600 · Fax 202-581-0070
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