Individual
DR. DAVID ROBERT MULLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8801 RANDALL DR NW, GIG HARBOR, WA 98332-2107
(415) 686-1020
Mailing address
8801 RANDALL DR NW, GIG HARBOR, WA 98332-2107
(415) 686-1020
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
26776
CA
1223P0300X
Periodontics
DE60433577
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000125772
UNITED CONCORDIA
CA
01
—
005891412
AETNA
CA
Enumeration date
07/30/2006
Last updated
10/12/2016
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