Individual
DR. ROBERT WILLIAM MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
226 S 94TH AVE, YAKIMA, WA 98908-9796
(509) 457-5914
Mailing address
226 S 94TH AVE, YAKIMA, WA 98908-9796
(509) 457-5914
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00004376
WA
Other
Enumeration date
08/14/2006
Last updated
09/20/2007
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