Dr Pamela R Mccullough Dds Pa

NPI Provider: 1245230374
Contact Name: McCullough Rae Pamela
Position: President
Phone: (316) 283-0870

Dr Pamela R Mccullough Dds Pa Information:

Dr Pamela R Mccullough Dds Pa organization have npi 1245230374, taxonomy code is 1223G0001X with license number is 6191 in . This Business address located in 229 N Main St, Newton, KS 67114 Kansas.

Practice Location
Address: 229 N Main St, Newton, KS 67114
Phone: (316) 283-0870

Business Location
Address: 229 N Main St, Newton, KS 67114
Phone: (316) 283-0870
Fax: (316) 282-2500

Taxonomy

Taxonomy Code: 1223G0001X

License Number: 6191

License Number of State: KS

Primary Taxonomy Switch: Y

Enumeration Date: 7/29/2005

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