Individual
CRAIG MULLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
281 N MAIN, SUITE 201, WASILLA, AK 99654
(907) 376-0452
(907) 376-0462
Mailing address
20606 PHILADELPHIA WAY, EAGLE RIVER, AK 99577
(907) 694-6602
(907) 376-0462
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1072
AK
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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