Willie James Mccullum DDS

NPI 1083622971 - Dentist - 122300000X

NPI Details
NPI 1083622971
Gender Male
Enumeration Date 08/04/2006
Last Updated 03/03/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
4002 SOUTH 'M' STREET
SUITE A
TACOMA WA, 98418, US
Phone (253) 474-0606
Fax (253) 476-3901
Business Location
4002 SOUTH 'M' STREET
SUITE A
TACOMA WA, 98418, US
Phone (253) 474-0606
Fax (253) 476-3901
Toxanomy
Taxonomy Code 122300000X
License State Washington
License Number 6326
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According to our database, Dr. Willie James Mccullum DDS NPI is 1083622971, taxonomy code is 122300000X and license number is 6326, license state is located at Washington. Willie James Mccullum DDS physically located at 4002 South 'm' Street, Tacoma WA, 98418. NPI Number Willie James Mccullum DDS has the Individual type.

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1083622971 NPI number is provided on an as is basis without warranty of any kind. 1083622971 is maintained by the National Plan & Provider Enumeration System. The contents of Willie James Mccullum DDS are for informational purposes only.