Individual
DR. PATRICK JOSEPH MULLALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
513 SEMINOLE RD, MUSKEGON, MI 49444-3719
(231) 733-9676
(231) 733-0868
Mailing address
2160 GENEVA LANE, MUSKEGON, MI 49441
(231) 780-2716
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019169
MI
Other
Enumeration date
05/11/2007
Last updated
04/17/2008
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