Shawn T Mccullough Dds, Pllc

NPI #1841850062 in North Branch, Minnesota

Provider Information

NPI Number
1841850062
Entity Type
Organization
Organization Name
Shawn T Mccullough Dds, Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 19, 2019
Last Updated
Jun 19, 2019

Practice Location

Address
6041 MAIN ST STE C
ZIP Code
55056-6589
Phone
(651) 674-4811

Authorized Official

Name
SHAWN TIMOTHY MCCULLOUGH, DDS
Title
OWNER
Phone
(651) 674-4811

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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