Individual
ABREFI-KETE ASARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
31036
TX
1223G0001X
General Practice Dentistry
31036
TX
1223P0221X
Pediatric Dentistry
Primary
31036
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0217797
DPS
TX
Enumeration date
06/17/2015
Last updated
10/08/2021
Update your record
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