Individual
WESLEY CLARK MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5520 N FARMER BRANCH RD, OZARK, MO 65721-5315
(417) 582-7030
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-4831
(417) 683-1602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2013013394
MO
Other
Enumeration date
06/26/2012
Last updated
12/11/2019
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