Organization
MPDA MULLEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA CREASMAN (OFFICE MANAGER)
(308) 534-1289
Entity
Organization
Contact information
Practice address
102 SE 2ND ST, MULLEN, NE 69152-5224
(308) 534-1289
Mailing address
805 S MAPLE ST, NORTH PLATTE, NE 69101-5282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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