Individual
DR. TEJAS MULYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1320 UNIVERSITY ST STE 2, SEATTLE, WA 98101
(206) 466-2351
Mailing address
3606 WOODLAND PARK AVE N APT 214, SEATTLE, WA 98103-7984
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
64901
CA
122300000X
Dentist
Primary
DE60610618
WA
122300000X
Dentist
RR60481192
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770987703
—
WA
Enumeration date
10/20/2014
Last updated
03/01/2020
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