Provider Demographics
NPI:1699023549
Name:MULLER, INGRID CRISTINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:INGRID
Middle Name:CRISTINA
Last Name:MULLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 ATLANTIC SHORES BLVD
Mailing Address - Street 2:APT # 109
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2897
Mailing Address - Country:US
Mailing Address - Phone:954-736-9887
Mailing Address - Fax:
Practice Address - Street 1:2101 ATLANTIC SHORES BLVD
Practice Address - Street 2:APT # 109
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-2897
Practice Address - Country:US
Practice Address - Phone:954-736-9887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 19750122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist