Individual
DR. JEREMY WADE CULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1876 E SABIN DRIVE SUITE #18, CASA GRANDE, AZ 85222
(520) 876-5227
(520) 876-4059
Mailing address
1876 E SABIN DR, STE 6, CASA GRANDE, AZ 85122-6197
(520) 876-5227
(520) 423-3013
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7170
AZ
Other
Enumeration date
06/18/2007
Last updated
11/04/2019
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