| John Mullally | |
|
1407 York Rd Ste 210 Lutherville MD 21093-6042 | |
| (410) 821-5553 | |
| Not Available |
| Full Name | John Mullally |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1407 York Rd Ste 210, Lutherville, Maryland |
| Authorized Official Name and Position | John G Mullally (OWNER) |
| Authorized Official Contact | 4108215553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Mullally 1407 York Rd Ste 210 Lutherville MD 21093-6042 Ph: (410) 821-5553 | John Mullally 1407 York Rd Ste 210 Lutherville MD 21093-6042 Ph: (410) 821-5553 |
| NPI Number | 1538623798 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 01/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538623798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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