Individual
MARK T CULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
16654 N. DALE MABRY HWY, TAMPA, FL 33618-1400
(813) 908-2444
(813) 908-2420
Mailing address
16654 N. DALE MABRY HWY, TAMPA, FL 33618-1400
(813) 908-2444
(813) 908-2420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13905
FL
Other
Enumeration date
02/07/2007
Last updated
05/07/2021
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