NPI 1386277663

Shiferaw Awlachew, ETC

Practitioner Dental Assistant Everett, MA

Practice location

Address: 14 Pleasant St, Everett, MA 02149-2811
Phone: (781) 300-1774

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence DA08481 (MA)

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Registry record

NPI: 1386277663
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2020
Record last updated: 15 Feb 2020

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.