Individual
GREGORY MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2803
(757) 953-8635
Mailing address
11701 BUCKHORN RD, CHESTERFIELD, VA 23838-2910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414454
VA
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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