Provider Demographics
NPI:1033779178
Name:MULGRUE, CLARE ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:CLARE
Middle Name:ELIZABETH
Last Name:MULGRUE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CLARE
Other - Middle Name:ELIZABETH
Other - Last Name:ESPINOSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11313 ASH ST
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1643
Mailing Address - Country:US
Mailing Address - Phone:913-451-2929
Mailing Address - Fax:913-451-2959
Practice Address - Street 1:11313 ASH ST
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1643
Practice Address - Country:US
Practice Address - Phone:913-451-2929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS61588122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist