Organization
CYPRESS CREEK FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY MULLINS DDS (PRACTICE OWNER)
(804) 397-0120
Entity
Organization
Contact information
Practice address
1617 S CHURCH ST, SMITHFIELD, VA 23430-1831
(757) 357-7500
Mailing address
1617 S CHURCH ST, SMITHFIELD, VA 23430-1831
(757) 357-7500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414454
VA
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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