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
- City
- North Branch
- State
- Minnesota
- 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 - Dental — Dental |
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