Organization
JEFFREY J. MCCULLOUGH DMD, MS, INC.
Active
Other names
Los Alamitos Periodontics & Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY J MCCULLOUGH DMD, MS (OWNER)
(717) 877-8268
Entity
Organization
Contact information
Practice address
4281 KATELLA AVE STE 112, LOS ALAMITOS, CA 90720-3502
(714) 484-8700
Mailing address
4281 KATELLA AVE STE 112, LOS ALAMITOS, CA 90720-3502
(714) 484-8700
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
62289
CA
Other
Enumeration date
06/10/2018
Last updated
06/10/2018
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