Individual
DR. ELIZABETH STOCKLEY MUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9200 MONTGOMERY RD, SUITE 4B, MONTGOMERY, OH 45242-7789
(513) 791-3660
Mailing address
8364 OAKDALE CT, MASON, OH 45040-5009
(513) 234-9188
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
017260
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017260
OHIO BOARD LICENSE
OH
05
—
0520056
—
OH
Enumeration date
02/20/2007
Last updated
07/08/2007
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