Assefa Demewoz DDS Pllc

NPI #1205338118 in Lorton, Virginia

Provider Information

NPI Number: 1205338118
Entity Type: Organization
Organization Name: Assefa Demewoz DDS Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 6, 2018
Last Updated: Mar 6, 2018

Practice Location

Address: 7746 GUNSTON PLZ
City: Lorton
State: Virginia
ZIP Code: 22079-1897
Phone: (703) 348-6969

Authorized Official

Name: DR. ASSEFA DEMEWOZ, DDS
Title: OWNER
Phone: (703) 348-6969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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