Individual
MR. DAMIAN LEE CULLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2135 DR. MARTIN LUTHER KING JR. ST. N., ST. PETERSBURG, FL 33704
(727) 327-7701
(727) 327-4771
Mailing address
2135 DOCTOR MARTIN LUTHER KING JR. STREET N, ST. PETERSBURG, FL 33704
(727) 327-7701
(727) 327-4771
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17221
FL
Other
Enumeration date
02/06/2007
Last updated
05/03/2016
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