DR. Robert Lyle Mccullough, DMD

NPI #1164926788 in Tigard, Oregon

Provider Information

NPI Number: 1164926788
Entity Type: Individual
Name: DR. Robert Lyle Mccullough, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Mar 20, 2018
Last Updated: Sep 10, 2019

Practice Location

Address: 11820 SW KING JAMES PL STE 20
City: Tigard
State: Oregon
ZIP Code: 97224-2481
Phone: (503) 968-2901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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