Individual
ROSE MARIE MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-3139
Mailing address
41920 NW CHILTON DR, WOODLAND, WA 98674-3010
(360) 225-3109
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00002986
WA
Other
Enumeration date
08/17/2006
Last updated
12/29/2021
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