Organization
MCCULLOUGH FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW MCCULLOUGH (OWNER)
(515) 965-4470
Entity
Organization
Contact information
Practice address
1630 SW WHITE BIRCH CIR, ANKENY, IA 50023-7213
(515) 965-4470
Mailing address
1630 SW WHITE BIRCH CIR, ANKENY, IA 50023-7213
(515) 965-4470
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7932
IA
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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