Individual
DR. ELLIS TAYLOR MULLINAX
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
UNIT 26610, WUERZBURG DENTAL ACTIVITY CREDENTIALS OFFICE, APO AE, NY 09244
(931) 804-3933
Mailing address
UNIT 26610, WUERZBURG DENTAL ACTIVITY CREDENTIALS OFFICE, APO AE, NY 09244
(931) 804-3933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2776
AL
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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