Individual
DR. RAE MUSSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
11005 W 60TH ST, SUITE 240, SHAWNEE, KS 66203-2716
(913) 631-5622
Mailing address
13901 CONSER ST, APT 1601, OVERLAND PARK, KS 66223-4211
(805) 234-1406
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2013026541
MO
122300000X
Dentist
Primary
61052
KS
Other
Enumeration date
07/25/2013
Last updated
01/14/2014
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