Individual
CRYSTAL MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2016021116
MO
Other
Enumeration date
03/29/2017
Last updated
05/15/2018
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