Provider Demographics
NPI:1932822145
Name:VALLARINE-MULHIM GENERAL PARTNERSHIP
Entity Type:Organization
Organization Name:VALLARINE-MULHIM GENERAL PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:VALLARINE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:209-669-8120
Mailing Address - Street 1:1729 N OLIVE AVE
Mailing Address - Street 2:SUITE 15
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-2501
Mailing Address - Country:US
Mailing Address - Phone:209-669-8120
Mailing Address - Fax:209-669-8123
Practice Address - Street 1:1729 N OLIVE AVE
Practice Address - Street 2:SUITE 15
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2501
Practice Address - Country:US
Practice Address - Phone:209-669-8120
Practice Address - Fax:209-669-8123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty