Provider Demographics
NPI:1851647846
Name:MUELLER, VERONICA LEE (DDS)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:LEE
Last Name:MUELLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:LEE
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5805 COIT RD
Mailing Address - Street 2:101
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6989
Mailing Address - Country:US
Mailing Address - Phone:214-208-4259
Mailing Address - Fax:
Practice Address - Street 1:5805 COIT RD
Practice Address - Street 2:101
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6989
Practice Address - Country:US
Practice Address - Phone:214-208-4259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX280261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice