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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SHIFERAW AWLACHEW SR., ETC

Active Sole Proprietor

MR. SHIFERAW AWLACHEW SR., ETC is a Dental Assistant healthcare provider located in EVERETT, Massachusetts. NPI 1386277663 is currently active in the NPPES registry. Verify at CMS.

Dental Assistant · EVERETT, MA

Registration Details

NPI Number
1386277663
Provider Type
Individual
Gender
Male
NPI Issued
Feb 15, 2020 (6.5130617734083 yrs)
Last Updated
Feb 15, 2020
License
DA08481 (MA)
Sole Proprietor
Yes

Practice Information

Address
14 PLEASANT ST
EVERETT, MA, 021492811
Browse MA providers · Browse ZIP 02149
Phone
7813001774
Primary Specialty
Dental Assistant
126800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.