Individual
MERISSA MULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6510 HARBOUR VIEW CT, MIDOTHIAN, VA 23112
(804) 739-6500
(804) 319-5666
Mailing address
1612 HUGUENOT RD, MIDLOTHIAN, VA 23113
(804) 378-9327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411124
VA
Other
Enumeration date
10/13/2006
Last updated
07/09/2024
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