Provider Demographics
NPI:1922263425
Name:GAIME, DAHAB TESFAI (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAHAB
Middle Name:TESFAI
Last Name:GAIME
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 1:715 GOUGH ST APT J
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3146
Mailing Address - Country:US
Mailing Address - Phone:202-340-0835
Mailing Address - Fax:
Practice Address - Street 1:715 GOUGH ST APT J
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3146
Practice Address - Country:US
Practice Address - Phone:202-340-0835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA573831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice