Individual
RYAN D CULLINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5700 W OLIVE AVE STE 107, GLENDALE, AZ 85302-3147
(623) 931-2222
(623) 931-2338
Mailing address
5700 W OLIVE AVE STE 107, GLENDALE, AZ 85302-3147
(623) 931-2222
(623) 931-2338
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5911
IA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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