Individual
DR. LARRY SEAN MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
350 BLOUNTVILLE HWY, SUITE 206, BRISTOL, TN 37620-0213
(423) 764-4174
(423) 764-4175
Mailing address
350 BLOUNTVILLE HWY, SUITE 206, BRISTOL, TN 37620-0213
(423) 764-4174
(423) 764-4175
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
#7111
TN
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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