Organization
PEDIATRIC DENTISTRY OF YUMA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN L. CULLEN D.M.D. (PRESIDENT)
(928) 329-9565
Entity
Organization
Contact information
Practice address
2359 S 22ND DR, SUITE 1, YUMA, AZ 85364-8871
(928) 329-9565
(928) 783-0669
Mailing address
2359 S 22ND DR, SUITE 1, YUMA, AZ 85364-8871
(928) 329-9565
(928) 783-0669
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
AZ4111
AZ
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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