# DR. MULUALEM TESFAYE ASSEFA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053793653
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 16016 | MD | Yes |
| 1223G0001X | General Practice Dentistry | 0401415215 | VA | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 06/19/2015
- **Last updated:** 07/23/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DEN1001790 | DC DENTAL BOARD | DC |
| 01 | — | MD16016 | MARYLAND DENTAL BOARD | MD |