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Individual

DR. MATTHEW MUELBL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
590 FOOTHILL BLVD, SALT LAKE CITY, UT 84113-1106
(801) 582-1565
Mailing address
201 E SOUTH TEMPLE APT 120, SALT LAKE CITY, UT 84111-1360
(414) 336-6151

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6000032-15
WI

Other

Enumeration date
06/24/2022
Last updated
06/24/2022
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