Organization
DR A L MULLIKEN
Active
Other names
Dr Albert L Mulliken DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT LAURANCE MULLIKEN DDS PA (OWNER)
(505) 622-4383
Entity
Organization
Contact information
Practice address
906 W ALAMEDA ST, ROSWELL, NM 88203-3804
(505) 622-4383
(505) 622-4404
Mailing address
906 W ALAMEDA ST, ROSWELL, NM 88203-3804
(505) 622-4383
(505) 622-4404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
703
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85928
—
NM
Enumeration date
10/25/2006
Last updated
08/22/2020
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