Individual
MASON MULLANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(443) 504-3467
Mailing address
1806 BURGUNDY DR, FALLSTON, MD 21047-2112
(443) 504-3467
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401419956
VA
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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