Individual
DR. THOMAS JOSEPH MULLALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9840 WESTPOINT DR STE 500, INDIANAPOLIS, IN 46256-3361
(317) 558-9757
Mailing address
9840 WESTPOINT DR STE 500, INDIANAPOLIS, IN 46256-3361
(317) 558-9757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014227A
IN
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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