Organization
THOMAS R. MULLEN, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R MULLEN DMD (OWNER)
(302) 629-3588
Entity
Organization
Contact information
Practice address
8466 HERRING RUN RD, SUITE D, SEAFORD, DE 19973-5763
(302) 629-3588
(302) 629-0274
Mailing address
8466 HERRING RUN RD, SUITE D, SEAFORD, DE 19973-5763
(302) 629-3588
(302) 629-0274
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
G1000885
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000081302
—
DE
Enumeration date
02/22/2007
Last updated
08/22/2020
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