Organization
MULLOOLY DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LEO MULLOOLY D.D.S. (PRESIDENT)
(650) 873-6681
Entity
Organization
Contact information
Practice address
3550 CALLAN BLVD, SOUTH SAN FRANCISCO, CA 94080-5117
(650) 873-6681
(650) 873-1080
Mailing address
3550 CALLAN BLVD, SOUTH SAN FRANCISCO, CA 94080-5117
(650) 873-6681
(650) 873-1080
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19127
CA
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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