| Amy Berhanu Demissie Dds Pc | |
|
471 N San Gorgonio Ave Banning CA 92220 | |
| (951) 849-2888 | |
| (951) 849-1454 |
| Full Name | Amy Berhanu Demissie Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 471 N San Gorgonio Ave, Banning, California |
| Authorized Official Name and Position | Amsale Berhanu Demissie (PRESIDENT) |
| Authorized Official Contact | 9518492888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Berhanu Demissie Dds Pc 471 N San Gorgonio Ave Banning CA 92220 Ph: (951) 849-2888 | Amy Berhanu Demissie Dds Pc 471 N San Gorgonio Ave Banning CA 92220 Ph: (951) 849-2888 |
| NPI Number | 1215009246 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215009246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30174 (California) | Primary |
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