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Organization

MULLEN AND ASSOCIATES, DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON WAYNE MULLEN D.D.S. (PRESIDENT)
(919) 585-7321
Entity
Organization

Contact information

Practice address
100 PINECROFT DRIVE, CLAYTON, NC 27520
(919) 585-7321
(919) 585-7323
Mailing address
100 PINECROFT DRIVE, CLAYTON, NC 27520
(919) 585-7321
(919) 585-7323

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8174
NC

Other

Enumeration date
10/21/2008
Last updated
10/21/2008
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