Mccullough, Christina Marie
Mccullough, Christina Marie is an individual health care provider with primary practice located at 15785 95Th Ave N , Maple Grove MN 55369-4404. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mccullough, Christina Marie can be contacted via phone (763) 420-5484.Contact Information
Primary practice address
15785 95Th Ave N
Maple Grove MN 55369-4404
Phone: (763) 420-5484
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D12386 | Minnesota |
Profile Details
| NPI number | 1730390063 |
|---|---|
| LBN Legal business name | Mccullough, Christina Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Aug 12th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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