Individual
DR. SARAH MULLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
801 MILWAUKEE AVE, SOUTH MILWAUKEE, WI 53172-2115
(414) 762-2300
Mailing address
801 MILWAUKEE AVE, SOUTH MILWAUKEE, WI 53172-2115
(414) 762-2300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6887-15
WI
1223G0001X
General Practice Dentistry
Primary
6887-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2012
Last updated
05/15/2013
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