Organization
JOHN MULLALLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN G MULLALLY DDS (OWNER)
(410) 821-5553
Entity
Organization
Contact information
Practice address
1407 YORK RD STE 210, LUTHERVILLE, MD 21093-6042
(410) 821-5553
Mailing address
1407 YORK RD STE 210, LUTHERVILLE, MD 21093-6042
(410) 821-5553
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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