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Contact Information

LISA K MULKIN, DDS
404 WILLIAM ST
GENEVA, NY14456-2143
 Phone: 315-789-3067
 Fax: 315-789-0056
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

General Practice

1223G0001X
 

Orofacial Pain

1223X2210X
Indicates primary specialty

NPI Profile & details for LISA K MULKIN · (Female)

NPI # 1902916307
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/30/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 050514-1
  • NY Other 70455LM BC/BS PROVIDER NUMBER
  • NY Other 050514 NEW YORK STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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