Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 45260 | CA |
NPI | 1033285275 |
---|---|
Provider Name | Mrs. Sheila Ann Muller |
First Address | Riverside, CA 92504 |
Second Address | Riverside, CA 92504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 04/10/2017 |