Individual
MS. CAROL JUDITH MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
2118 BOUNDARY ST, SAN DIEGO, CA 92104
(619) 282-5322
Mailing address
2118 BOUNDARY STREET, SAN DIEGO, CA 92104
(619) 282-5322
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
168
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
523824
DENTICAL PIN
CA
Enumeration date
05/25/2007
Last updated
07/08/2007
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