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Individual

DR. JAMES ALAN MCNULTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4642 OBERLIN AVE, SUITE 101, LORAIN, OH 44053-3164
(440) 282-2510
(440) 282-2510
Mailing address
4642 OBERLIN AVE, LORAIN, OH 44053-3164
(440) 282-2510
(440) 282-2510

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13940
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0210748
OH
Enumeration date
01/31/2007
Last updated
07/09/2007
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