Individual
DR. STEPHEN K. MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
508 W VANDAMENT AVE, SUITE 200, YUKON, OK 73099-4655
(405) 350-1343
Mailing address
508 W VANDAMENT AVE, SUITE 200, YUKON, OK 73099-4655
(405) 350-1343
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4038
OK
Other
Enumeration date
12/23/2006
Last updated
07/08/2007
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