Organization
J M MULLEN DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK M MULLEN DDS PA (PRESIDENT)
(252) 443-7575
Entity
Organization
Contact information
Practice address
901 N WINSTEAD AVE, STE 120, ROCKY MOUNT, NC 27804-8467
(252) 443-7575
(252) 443-3960
Mailing address
901 N WINSTEAD AVE, STE 120, ROCKY MOUNT, NC 27804-8467
(252) 443-7575
(252) 443-3960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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