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Samson Derebe, DDS
NPI 1962617548 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6044 Martin Luther King Way So
Suite#101
Seattle, WA 98118 - Phone
- (206) 760-9571
- Fax
- (206) 760-9627
- Organisation at this address
- Aim Dental Associates Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- 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 Washington