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Individual

DR. MIRANDA JOY MULLIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
250 FULLER ST. S., SUITE 250, SHAKOPEE, MN 55379
(952) 445-6657
(952) 445-0674
Mailing address
250 FULLER ST. S., SUITE 250, SHAKOPEE, MN 55379
(952) 445-6657
(952) 445-0674

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13672
MN

Other

Enumeration date
05/30/2016
Last updated
03/26/2019
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