Provider Demographics
NPI:1598998528
Name:MULLER, ENRIQUE DANIEL (DMD, MSD)
Entity Type:Individual
Prefix:DR
First Name:ENRIQUE
Middle Name:DANIEL
Last Name:MULLER
Suffix:
Gender:M
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2999 NE 191ST ST STE 708
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3386
Mailing Address - Country:US
Mailing Address - Phone:305-707-2266
Mailing Address - Fax:
Practice Address - Street 1:2999 NE 191ST ST STE 708
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3386
Practice Address - Country:US
Practice Address - Phone:305-707-2266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18556561223P0300X
FLDN195601223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics