Alan R Mully, DMD Valid NPI

Individual provider · Dentist · Leverett, MA

NPI

1972687416

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

DN14014 (MA)

Sex

Male

Sole proprietor

No

Enumerated

2006-10-24

Last updated

2009-11-13