Individual
DR. MATTHEW MULLALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9840 WESTPOINT DR, SUITE 500, INDIANAPOLIS, IN 46256-3360
(810) 990-4241
(317) 537-2687
Mailing address
9840 WESTPOINT DR, SUITE 500, INDIANAPOLIS, IN 46256-3360
(810) 990-4241
(317) 537-2687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012389A
IN
Other
Enumeration date
05/29/2015
Last updated
02/27/2017
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