# DR. JUSTIN C. MULL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1255665634
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 51363 | CA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN1856015 | MA | Yes |

## Other

- **Enumeration date:** 10/01/2009
- **Last updated:** 02/24/2021
