Individual
DR. GARY D MC MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12202 LAKESHORE S, AUBURN, CA 95602-8260
(916) 765-0902
Mailing address
12202 LAKESHORE S, AUBURN, CA 95602-8260
(916) 765-0902
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20413
CA
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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