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Individual

DR. CARRIE ANN-GILBERT MULLICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
312 CROCKER BLVD, MOUNT CLEMENS, MI 48043-2547
(586) 469-6336
(586) 469-1535
Mailing address
312 CROCKER BLVD, MOUNT CLEMENS, MI 48043-2547
(586) 469-6336
(586) 469-1535

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018537
MI

Other

Enumeration date
05/12/2011
Last updated
05/12/2011
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