Mcmullen, Carol Judith

Mcmullen, Carol Judith is an individual health care provider with primary practice located at 2118 Boundary St , San Diego CA 92104. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Mcmullen, Carol Judith can be contacted via phone (619) 282-5322.

Contact Information

Primary practice address
2118 Boundary St San Diego CA 92104
Phone: (619) 282-5322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 168 California

Profile Details

NPI number 1356552624
LBN Legal business name Mcmullen, Carol Judith
Credentials RDHAP
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356552624 NPPES
California Other 523824 DENTICAL PIN

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