Mullooly Dental Corporation | |
3550 Callan Blvd South San Francisco CA 94080-5117 | |
(650) 873-6681 | |
(650) 873-1080 |
Full Name | Mullooly Dental Corporation |
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Speciality | Clinic/center - Dental |
Location | 3550 Callan Blvd, South San Francisco, California |
Authorized Official Name and Position | Thomas Leo Mullooly (PRESIDENT) |
Authorized Official Contact | 6508736681 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mullooly Dental Corporation 3550 Callan Blvd South San Francisco CA 94080-5117 Ph: (650) 873-6681 | Mullooly Dental Corporation 3550 Callan Blvd South San Francisco CA 94080-5117 Ph: (650) 873-6681 |
NPI Number | 1285761858 |
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Provider Enumeration Date | 02/28/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1285761858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 19127 (California) | Primary |
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