Assefa, Mulualem Tesfaye

Assefa, Mulualem Tesfaye is an sole proprietor health care provider with primary practice located at 5570 Silver Hill Rd , District Heights MD 20747-1104. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Assefa, Mulualem Tesfaye can be contacted via phone (301) 202-2222.

Contact Information

Primary practice address
5570 Silver Hill Rd District Heights MD 20747-1104
Phone: (301) 202-2222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 0401415215 Virginia
Dental Providers / Dentist 122300000X 16016 Maryland

Profile Details

NPI number 1053793653
LBN Legal business name Assefa, Mulualem Tesfaye
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2015
Last updated Oct 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053793653 NPPES
District of Columbia Other DEN1001790 DC DENTAL BOARD
District of Columbia Other MD16016 DC DENTAL BOARD

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