Provider Demographics
NPI:1073961488
Name:ALEMU, YAMROT (DDS)
Entity Type:Individual
Prefix:DR
First Name:YAMROT
Middle Name:
Last Name:ALEMU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3906 DECOTO RD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94555-3114
Mailing Address - Country:US
Mailing Address - Phone:510-713-7337
Mailing Address - Fax:
Practice Address - Street 1:3906 DECOTO RD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94555-3114
Practice Address - Country:US
Practice Address - Phone:510-713-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-25
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100293122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist