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Individual

DR. ELIZABETH R MULLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
12 CLEVELAND CT, GREENVILLE, SC 29607-2414
(864) 242-0496
(864) 250-0965
Mailing address
102 FARIS CIRCLE, GREENVILLE, CA 29605
(864) 360-0944

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3862
SC

Other

Enumeration date
05/10/2007
Last updated
07/08/2007
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