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Individual
DR. DAVID ROBERT MULLIN
Active
Individual
DR. DAVID ROBERT MULLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
26776
CA
1223P0300X
Periodontics
DE60433577
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000125772
UNITED CONCORDIA
CA
01
—
005891412
AETNA
CA
Enumeration date
07/30/2006
Last updated
10/12/2016
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