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Individual

DR. GREGORY SCOTT MCCULLOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
401 NW 18TH ST, ANKENY, IA 50023-4260
(515) 964-0081
(515) 964-2902
Mailing address
401 NW 18TH ST, ANKENY, IA 50023-4260
(515) 964-0081
(515) 964-2902

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7798
IA

Other

Enumeration date
12/29/2006
Last updated
06/09/2016
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