| Michael L. Mauldin D.d.s.,p.c. | |
|
501 Moore Ave Portland TX 78374-1605 | |
| (361) 643-7811 | |
| (361) 643-4028 |
| Full Name | Michael L. Mauldin D.d.s.,p.c. |
|---|---|
| Speciality | Dentist |
| Location | 501 Moore Ave, Portland, Texas |
| Authorized Official Name and Position | Michael Landers Mauldin (PRESIDENT) |
| Authorized Official Contact | 3616437811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L. Mauldin D.d.s.,p.c. 501 Moore Ave Portland TX 78374-1605 Ph: (361) 643-7811 | Michael L. Mauldin D.d.s.,p.c. 501 Moore Ave Portland TX 78374-1605 Ph: (361) 643-7811 |
| NPI Number | 1396773982 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 01/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396773982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9804 (Texas) | Primary |
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