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Organization
MICHAEL L. MAULDIN D.D.S.,P.C.
Active
Organization
MICHAEL L. MAULDIN D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LANDERS MAULDIN D.D.S. (PRESIDENT)
(361) 643-7811
Entity
Organization
Contact information
Practice address
501 MOORE AVE, PORTLAND, TX 78374-1605
(361) 643-7811
(361) 643-4028
Mailing address
501 MOORE AVE, PORTLAND, TX 78374-1605
(361) 643-7811
(361) 643-4028
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9804
TX
Other
Enumeration date
06/30/2006
Last updated
01/25/2008
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