Individual
LARRY F MULLINAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6012A HIXSON PIKE, HIXSON, TN 37343-3032
(423) 843-0418
Mailing address
PO BOX 995, HIXSON, TN 37343-0995
(423) 843-0418
(423) 842-7362
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
TN2248
TN
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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