Individual
RAYMOND MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2547 PLAINFIELD NAPERVILLE RD, SUITE 104, NAPERVILLE, IL 60564-8909
(630) 420-4145
(630) 420-7582
Mailing address
2547 PLAINFIELD NAPERVILLE RD, SUITE 104, NAPERVILLE, IL 60564-8909
(630) 420-4145
(630) 420-7582
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019018463
IL
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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