Individual
DR. MISHA RENEE MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2504 TULANE AVE, NEW ORLEANS, LA 70119-7445
(504) 304-9929
Mailing address
1036 SOLON ST, GRETNA, LA 70053-3347
(504) 494-3207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7155
LA
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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