Most Relevant Information
Provider Data
| NPI Number: | 1003411562 |
| Provider Name: | DORTHE H MULLINS RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 00004920 |
Most Important Dates
| Enumeration Date: | 12/02/2020 |
| Last Updated: | 12/02/2020 |
Provider Practice Location
2630 77TH AVE SE # 128
MERCER ISLAND
WA
980404053
Practice Location Phone/Fax
| Phone: | 2069499074 |
| Fax: |
Provider Mailing Location
PO BOX 128
MERCER ISLAND
WA
980400128
Provider Mailing Phone/Fax
| Phone: | 2069499074 |
| Fax: |