Individual
DR. COREY MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 822-7029
(910) 482-5050
Mailing address
1419 GENERAL LEE AVE, FAYETTEVILLE, NC 28305-4869
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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