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Individual
DR. JOHN J CULLER III
Active
Individual
DR. JOHN J CULLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4743
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000154482
ANTHEM BCBS FED GOV
KY
01
—
641639
UNITED CONCORDIA
—
Enumeration date
03/20/2006
Last updated
04/05/2012
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