| Addismile | |
|
5764 Dow Ave Alexandria VA 22304 | |
| (703) 256-7711 | |
| Not Available |
| Full Name | Addismile |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5764 Dow Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Tesfaye Hailemariam (OWNER/DENTIST) |
| Authorized Official Contact | 7032567711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addismile Po Box 141 Burke VA 22009-0141 | Addismile 5764 Dow Ave Alexandria VA 22304 Ph: (703) 256-7711 |
| NPI Number | 1659827871 |
|---|---|
| Provider Enumeration Date | 08/28/2016 |
| Last Update Date | 05/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659827871 | NPI | - | NPPES |
| 104989 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401410490 (Virginia) | Primary |
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