Individual
DR. GLEN E MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
13096 TESSON FERRY RD, SAINT LOUIS, MO 63128-3442
(314) 842-0060
(314) 842-0067
Mailing address
13096 TESSON FERRY RD, SAINT LOUIS, MO 63128-3442
(314) 842-0060
(314) 842-0067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 12226
MO
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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