Individual
DR. KYLE ANNE MATTMULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15 W BROAD ST, PALMYRA, NJ 08065-1640
(856) 786-7117
Mailing address
15 W BROAD ST, PALMYRA, NJ 08065-1640
(856) 786-7117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01605800
NJ
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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