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Organization
NAN HERRON MULLINS,D.M.D., P.A.
Active
Organization
NAN HERRON MULLINS,D.M.D., P.A.
Active
Other names
Summit Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NAN HERRON MULLINS D.M.D. (PRESIDENT)
(850) 477-5788
Entity
Organization
Contact information
Practice address
4400 BAYOU BLVD STE 17, PENSACOLA, FL 32503-1907
(850) 477-5788
(850) 478-9339
Mailing address
PO BOX 30126, 4400 BAYOU BLVD., #17, PENSACOLA, FL 32503-1126
(850) 477-5788
(850) 478-9339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN9684
FL
Other
Enumeration date
03/09/2007
Last updated
03/26/2008
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