Individual
DR. CHRISTINA MARIE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15785 95TH AVE N, MAPLE GROVE, MN 55369-4404
(763) 420-5484
Mailing address
15785 95TH AVE N, MAPLE GROVE, MN 55369-4404
(763) 420-5484
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12386
MN
Other
Enumeration date
05/25/2007
Last updated
08/12/2013
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