Individual
DR. EDWARD J MCCULLOCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3585 VAN TEYLINGEN DR, STE F, COLORADO SPRINGS, CO 80917-4875
(719) 597-7111
(719) 572-0177
Mailing address
3585 VAN TEYLINGEN DR, STE F, COLORADO SPRINGS, CO 80917-4875
(719) 597-7111
(719) 572-0177
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
104717
CO
Other
Enumeration date
08/01/2005
Last updated
07/08/2007
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