| Kent Lane Mueller Dds, Llc | |
|
1115 Easton Rd Willow Grove PA 19090-1901 | |
| (215) 657-5700 | |
| (215) 657-5717 |
| Full Name | Kent Lane Mueller Dds, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1115 Easton Rd, Willow Grove, Pennsylvania |
| Authorized Official Name and Position | Kent Lane Mueller (OWNER) |
| Authorized Official Contact | 2156575700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent Lane Mueller Dds, Llc 1115 Easton Rd Willow Grove PA 19090-1901 Ph: (215) 657-5700 | Kent Lane Mueller Dds, Llc 1115 Easton Rd Willow Grove PA 19090-1901 Ph: (215) 657-5700 |
| NPI Number | 1932537883 |
|---|---|
| Provider Enumeration Date | 10/30/2013 |
| Last Update Date | 10/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932537883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS021630L (Pennsylvania) | Primary |
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