# KENT LANE MUELLER DDS, LLC

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

## Provider details

- **NPI number:** 1932537883
- **Authorized official:** DR. KENT LANE MUELLER DDS (OWNER)
- **Authorized official phone:** (215) 657-5700

## Contact information

- **Practice address:** 1115 EASTON RD, WILLOW GROVE, PA 19090-1901
- **Practice address phone:** (215) 657-5700
- **Practice address fax:** (215) 657-5717
- **Mailing address:** 1115 EASTON RD, WILLOW GROVE, PA 19090-1901
- **Mailing address phone:** (215) 657-5700
- **Mailing address fax:** (215) 657-5717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS021630L | PA | Yes |

## Other

- **Enumeration date:** 10/30/2013
- **Last updated:** 10/30/2013