Individual
DORTHE H MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2630 77TH AVE SE # 128, MERCER ISLAND, WA 98040-4053
(206) 949-9074
Mailing address
PO BOX 128, MERCER ISLAND, WA 98040-0128
(206) 949-9074
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
00004920
WA
174400000X
Specialist
Primary
00004920
WA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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