NPI 1033951603
Elbethel Dereje Defare, DDS
Practice location
- Address
- 1910 Thomson Dr, Lynchburg, VA 24501-1009
- Phone
- (434) 847-4581
- Mailing address
- 43154 Ashley Green Dr, Ashburn, VA 20148-7045
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1033951603
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Jun 2024
- Record last updated
- 26 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.