Individual
DR. NATALIE NICOLE MULLALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
15148 N DALE MABRY HWY, TAMPA, FL 33618-1817
(813) 960-0106
Mailing address
3530 NW 35TH PL, GAINESVILLE, FL 32605-2019
(352) 214-9824
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 18414
FL
Other
Enumeration date
01/22/2011
Last updated
01/23/2011
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