DR. Elmer H Mullins JR., DMD

NPI #1770703829 in Russell, Kentucky

Provider Information

NPI Number: 1770703829
Entity Type: Individual
Name: DR. Elmer H Mullins JR., DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Apr 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1452 DIEDERICH BLVD
City: Russell
State: Kentucky
ZIP Code: 41169
Phone: (606) 836-6022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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