# MICHAEL I MUUL DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285922682
- **Authorized official:** MICHAEL MUUL DDS,PA (ORAL SURGEON)
- **Authorized official phone:** (410) 290-7757

## Contact information

- **Practice address:** 6798 OAK HALL LN, SUITE A1, COLUMBIA, MD 21045-4892
- **Practice address phone:** (410) 290-7757
- **Mailing address:** 6798 OAK HALL LN, SUITE A1, COLUMBIA, MD 21045-4892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 10804 | MD | Yes |

## Other

- **Enumeration date:** 07/19/2011
- **Last updated:** 04/03/2013