Organization
RICHARD C. MULLENS, DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CHANDLER MULLENS D.D.S. (MANAGING MEMBER)
(904) 399-3163
Entity
Organization
Contact information
Practice address
3215 HENDRICKS AVE, SUITE 1, JACKSONVILLE, FL 32207-4280
(904) 399-3163
(904) 399-5999
Mailing address
3215 HENDRICKS AVE, SUITE 1, JACKSONVILLE, FL 32207-4280
(904) 399-3163
(904) 399-5999
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN 12370
FL
Other
Enumeration date
01/22/2017
Last updated
01/22/2017
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