Yetta G Mccullom DDS, MA

NPI 1285884791 - Dentist - 1223P0300X

NPI Details
NPI 1285884791
Gender Female
Enumeration Date 09/22/2008
Last Updated 09/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
820 E 87TH ST
STE 201
CHICAGO IL, 60619-6253, US
Phone (773) 488-3738
Fax (773) 874-6575
Business Location
820 E 87TH ST
STE 201
CHICAGO IL, 60619-6253, US
Phone (773) 488-3738
Fax (773) 874-6575
Toxanomy
Taxonomy Code 1223P0300X
License State Illinois
License Number 021001516
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According to our database, Yetta G Mccullom DDS, MA NPI is 1285884791, taxonomy code is 1223P0300X and license number is 021001516, license state is located at Illinois. Yetta G Mccullom DDS, MA physically located at 820 E 87th St, Chicago IL, 60619-6253. NPI Number Yetta G Mccullom DDS, MA has the Individual type.

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1285884791 NPI number is provided on an as is basis without warranty of any kind. 1285884791 is maintained by the National Plan & Provider Enumeration System. The contents of Yetta G Mccullom DDS, MA are for informational purposes only.