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1437248804
MARK MULLENBACH
WOODBURN, OR
NPI
1437248804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D7489)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
MARK MULLENBACH DMD
1175 MOUNT HOOD AVENUE
WOODBURN, OR 97071
Phone number: 503-982-2000
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Mailing Address
MARK MULLENBACH DMD
PO BOX 190
TOPPENISH, WA 98948-0190
Phone number: 509-865-6175
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