Organization
CULLIMORE FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY SCOTT CULLIMORE D.D.S. (MANAGER)
(480) 985-2978
Entity
Organization
Contact information
Practice address
2038 N RECKER RD, MESA, AZ 85215-2744
(480) 985-2978
Mailing address
2038 N RECKER RD, MESA, AZ 85215-2744
(480) 985-2978
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4668
AZ
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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