Individual
DR. TERRY L MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7557 HWY 85, RIVERDALE, GA 30274
(770) 994-8994
(770) 994-0671
Mailing address
7557 HWY 85, RIVERDALE, GA 30274
(770) 994-8994
(770) 994-0671
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010601
GA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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