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Organization

MPDA MULLEN LLC

Active
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Organization

MPDA MULLEN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA CREASMAN (OFFICE MANAGER)
(308) 534-1289
Entity
Organization

Contact information

Practice address
102 SE 2ND ST, MULLEN, NE 69152-5224
(308) 534-1289
Mailing address
805 S MAPLE ST, NORTH PLATTE, NE 69101-5282

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Enumeration date
06/09/2025
Last updated
06/09/2025
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