Organization
RICHARD JOHN MCNULTY D.M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOHN MCNULTY D.M.D (DENTIST)
(508) 687-9752
Entity
Organization
Contact information
Practice address
65 MAIN ST, VINEYARD HAVEN, MA 02568-5402
(508) 687-9752
(508) 687-5793
Mailing address
PO BOX 4477, VINEYARD HAVEN, MA 02568-0935
(508) 693-5454
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN14347
MA
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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