Kesanet Gebrekidan, DDS
NPI 1104838002 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5359 W Fullerton Ave
Chicago, IL 60639 - Phone
- (773) 637-7053
- Clinicians at this address
- 38
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois