Individual
MARIE J CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7108 TORRESDALE AVE, PHILADELPHIA, PA 19135-1313
(215) 338-4345
Mailing address
786 RED BARN LN, HUNTINGDON VALLEY, PA 19006-2210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 036501
PA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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