Individual
DANIEL LYNN MULLENAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21805 S ELLSWORTH RD STE 110, QUEEN CREEK, AZ 85142-9365
(480) 882-1151
(480) 655-5248
Mailing address
21805 S ELLSWORTH RD STE 110, QUEEN CREEK, AZ 85142-9365
(480) 313-5889
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6562
AZ
Other
Enumeration date
10/11/2006
Last updated
12/19/2022
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