Amy Berhanu Demissie DDS PC

NPI #1215009246 in Banning, California

Provider Information

NPI Number: 1215009246
Entity Type: Organization
Organization Name: Amy Berhanu Demissie DDS PC
Primary Specialty: Dentist
Enumeration Date: Nov 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 471 N SAN GORGONIO AVE
City: Banning
State: California
ZIP Code: 92220
Phone: (951) 849-2888

Authorized Official

Name: DR. AMSALE BERHANU DEMISSIE
Title: PRESIDENT
Phone: (951) 849-2888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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