Tadesse Tesfamichael, Dds, a Professional Corporation

NPI #1679076822 in Windsor, California

Provider Information

NPI Number: 1679076822
Entity Type: Organization
Organization Name: Tadesse Tesfamichael, Dds, a Professional Corporation
Primary Specialty: Dentist
Enumeration Date: Mar 14, 2018
Last Updated: Mar 16, 2018

Practice Location

Address: 6580 HEMBREE LN STE 255
City: Windsor
State: California
ZIP Code: 95492-6885
Phone: (707) 836-1202

Authorized Official

Name: TAD TESFAMICHAEL, DDS
Title: PRACTICE OWNER
Phone: (707) 836-1202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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