Individual
DR. MARTHA M MULDOWNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5464 PINE LANE, ROSCOE, IL 61073
(815) 623-9292
(815) 623-6116
Mailing address
PO BOX 525, ROSCOE, IL 61073
(815) 623-9292
(815) 623-6116
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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