Individual
DR. JASON GRAHAM MULLINS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1845 CHERRY ST, MONTGOMERY, AL 36107-2613
(334) 669-1080
Mailing address
1845 CHERRY ST, MONTGOMERY, AL 36107-2613
(334) 420-5001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6218
AL
Other
Enumeration date
06/29/2015
Last updated
09/23/2020
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