Mullin, David Robert

Mullin, David Robert is an sole proprietor health care provider with primary practice located at 8801 Randall Dr Nw , Gig Harbor WA 98332-2107. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Mullin, David Robert can be contacted via phone (415) 686-1020.

Contact Information

Primary practice address
8801 Randall Dr Nw Gig Harbor WA 98332-2107
Phone: (415) 686-1020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 26776 California
Dental Providers / Periodontics 1223P0300X DE60433577 Washington

Profile Details

NPI number 1659386100
LBN Legal business name Mullin, David Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2006
Last updated Oct 12th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659386100 NPPES
California Other 005891412 AETNA
California Other 000125772 AETNA

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