Individual
DR. WILLIE JAMES MCCULLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4002 SOUTH 'M' STREET, SUITE A, TACOMA, WA 98418
(253) 474-0606
(253) 476-3901
Mailing address
4002 SOUTH 'M' STREET, SUITE A, TACOMA, WA 98418
(253) 474-0606
(253) 476-3901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6326
WA
Other
Enumeration date
08/04/2006
Last updated
03/03/2010
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