Individual
DR. AMSALE DERESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1115 US HIGHWAY 259 S, HENDERSON, TX 75654-3629
(903) 392-8251
Mailing address
1115 US HIGHWAY 259 S, HENDERSON, TX 75654-3629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34286
TX
Other
Enumeration date
07/15/2018
Last updated
05/26/2021
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