DR. Michael Landers Mauldin, D.D.S.

NPI #1588670939 in Portland, Texas

Provider Information

NPI Number: 1588670939
Entity Type: Individual
Name: DR. Michael Landers Mauldin, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jul 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 501 MOORE AVE
City: Portland
State: Texas
ZIP Code: 78374-1605
Phone: (361) 643-7811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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