Provider Demographics
NPI:1255463550
Name:GEORGE J MULLER A DENTAL CORPORATION
Entity type:Organization
Organization Name:GEORGE J MULLER A DENTAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST PRESIDENT OF CORPORATION
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:JERZY
Authorized Official - Last Name:MULLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-282-2452
Mailing Address - Street 1:330 N GARFIELD AVE
Mailing Address - Street 2:#2 GEORGE J MULLER A DENTAL CORPORATION
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-2400
Mailing Address - Country:US
Mailing Address - Phone:626-282-2452
Mailing Address - Fax:626-282-2452
Practice Address - Street 1:330 N GARFIELD AVE
Practice Address - Street 2:#2 GEORGE J MULLER A DENTAL CORPORATION
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-2400
Practice Address - Country:US
Practice Address - Phone:626-282-2452
Practice Address - Fax:626-282-2452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34389122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty