MULLASSERIL PC
Organization (NPI-2)
Active
Dentist, Orthodontics and Dentofacial Orthopedics
Provider Information
- NPI Number
1922366475- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 504 SHAWNEE MALL DR, SHAWNEE, OK, 748041317
- Phone
- (405) 878-8899
- Fax
- (405) 878-8896
Specialties & Taxonomies
Dentist, Orthodontics and Dentofacial Orthopedics
Primary License: OK #172