Individual
DR. ALEX L MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
143 AIRPORT ROAD, IN CARE OF GRACE FAMILY DENTISTRY, CONCORD, NH 03301
(603) 225-6650
(603) 225-9495
Mailing address
143 AIRPORT ROAD, IN CARE OF GRACE FAMILY DENTISTRY, CONCORD, NH 03301
(603) 225-6650
(603) 225-9495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3170
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30300918
—
NH
Enumeration date
12/26/2006
Last updated
07/08/2007
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