Organization
JOHN MULLALLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MULLALLY DDS (OWNER)
(410) 836-7800
Entity
Organization
Contact information
Practice address
208 FULFORD AVE, BEL AIR, MD 21014-3814
(410) 836-7800
Mailing address
208 FULFORD AVE, BEL AIR, MD 21014-3814
(410) 836-7800
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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