Individual
PAUL MATHEWS MULLASSERIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-5714
(405) 271-2405
Mailing address
PO BOX 26901, DCS 209, OKLAHOMA CITY, OK 73190-0001
(405) 271-5714
(405) 271-2405
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5360
OK
Other
Enumeration date
12/18/2006
Last updated
08/29/2008
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