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Individual

DR. JUSTIN C. MULL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1428 MAIN ST STE 1, WALPOLE, MA 02081-1729
(508) 668-8008
(508) 668-8808
Mailing address
1428 MAIN STREET DENTAL ASSOCIATES, SUITE ONE, WALPOLE, MA 02081-1729
(508) 668-8008
(508) 668-8808

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
51363
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1856015
MA

Other

Enumeration date
10/01/2009
Last updated
02/24/2021
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