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Organization
SYDNEY ANN MULLINS DMA
Active
Organization
SYDNEY ANN MULLINS DMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYDNEY ANN MULLINS DMD (OWNER)
(502) 412-1166
Entity
Organization
Contact information
Practice address
1313 LYNDON LANE, STE 211, LOUISVILLE, KY 40222
(502) 412-1166
(502) 339-0433
Mailing address
1313 LYNDON LANE, STE 211, LOUISVILLE, KY 40222
(502) 412-1166
(502) 339-0433
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4500353000
EPSDT
KY
05
—
60073236
—
KY
Enumeration date
01/12/2007
Last updated
08/22/2020
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