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Individual
ETSEGENET ABEBE MOLLA
Active
Individual
ETSEGENET ABEBE MOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18426
MD
1223G0001X
General Practice Dentistry
DEN2000524
DC
Other
Enumeration date
03/04/2024
Last updated
12/08/2025
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