Individual
DR. HALEY MUNDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6145 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5558
(270) 412-2787
Mailing address
253 WESSON DR, CLARKSVILLE, TN 37043-2235
(985) 377-8381
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7653
LA
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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