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Individual
DR. MULUALEM TESFAYE ASSEFA
Active
Individual
DR. MULUALEM TESFAYE ASSEFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16016
MD
1223G0001X
General Practice Dentistry
0401415215
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEN1001790
DC DENTAL BOARD
DC
01
—
MD16016
MARYLAND DENTAL BOARD
MD
Enumeration date
06/19/2015
Last updated
07/23/2026
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