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Individual

DR. HEATHER RENAE MCCULLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
3827 TAYLORSVILLE RD, LOUISVILLE, KY 40220-1345
(502) 451-7803
Mailing address
4516 OUTER LOOP, LOUISVILLE, KY 40219-3857
(502) 964-9094

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1018
KY

Other

Enumeration date
05/25/2010
Last updated
03/25/2018
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