# KATHLEEN M MULLANEY DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356720106
- **Authorized official:** DR. KATHLEEN MATHESON MULLANEY DDS (OWNER)
- **Authorized official phone:** (703) 548-8584

## Contact information

- **Practice address:** 700 N FAIRFAX ST, STE 230, ALEXANDRIA, VA 22314-2040
- **Practice address phone:** (703) 548-8584
- **Practice address fax:** (703) 548-0014
- **Mailing address:** 700 N FAIRFAX ST, STE 230, ALEXANDRIA, VA 22314-2040
- **Mailing address phone:** (703) 548-8584
- **Mailing address fax:** (703) 548-0014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401007018 | VA | Yes |

## Other

- **Enumeration date:** 05/27/2015
- **Last updated:** 12/29/2015