Individual
DR. MEGAN LYNN MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4525 TIMBERLINE CT, VADNAIS HEIGHTS, MN 55127-6024
(612) 419-0402
Mailing address
4525 TIMBERLINE CT, VADNAIS HEIGHTS, MN 55127-6024
(612) 419-0402
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12786
MN
1223G0001X
General Practice Dentistry
DE60285539
WA
Other
Enumeration date
06/21/2010
Last updated
12/19/2016
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