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Individual

MICHAEL CARL MUELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
203 E LAKE AVE, NEW CARLISLE, OH 45344-1465
(937) 845-1031
(937) 845-4090
Mailing address
203 E LAKE AVE, PO BOX 66, NEW CARLISLE, OH 45344-1465
(937) 845-1031
(937) 845-4090

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-01-5921
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0237765
OH
05
0407161
OH
Enumeration date
10/04/2006
Last updated
10/05/2010
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