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Individual

DR. CHRISTIAN L. CULBREATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
166 MURRAY GUARD DR, SUITE B, JACKSON, TN 38305-3609
(731) 664-9900
Mailing address
166 MURRAY GUARD DR, SUITE B, JACKSON, TN 38305-3609
(731) 664-9900

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS005275
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0192497
BLUE CROSS & BLUE SHIELD
TN
01
884473
UNITED CONCORDIA
Enumeration date
01/23/2007
Last updated
07/08/2007
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