Individual
DR. STEPHANIE LAUREN MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3470 NE RALPH POWELL RD STE C, LEES SUMMIT, MO 64064-2336
(816) 719-3200
Mailing address
3470 NE RALPH POWELL RD STE C, LEES SUMMIT, MO 64064-2336
(816) 719-3200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2002011111
MO
1223E0200X
Endodontics
Primary
2002011111
MO
1223P0300X
Periodontics
2002011111
MO
Other
Enumeration date
07/19/2011
Last updated
08/09/2011
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