Individual
DR. ROBERT GERALD MULL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3935 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49534-7844
(616) 453-7755
Mailing address
1698 BRISTOL RIDGE DR . NW, GRAND RAPIDS, MI 49544
(616) 453-7471
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17685
MI
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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