NPI | 1831298579 |
---|---|
Other Name | DANIEL MULLENAUX |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ AZ2569) |
Additional Taxonomies | 122300000X Dentist (Licence: AZ AZ6562) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2007-07-08 |