| Brandon Mccullough Dental Corporation | |
|
210 S Montclair St Bakersfield CA 93309-3164 | |
| (210) 240-6243 | |
| Not Available |
| Full Name | Brandon Mccullough Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 210 S Montclair St, Bakersfield, California |
| Authorized Official Name and Position | Brandon Jd Mccullough (PRESIDENT) |
| Authorized Official Contact | 2102406243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Mccullough Dental Corporation 210 S. Montclair St Bakersfield CA 93309-9472 Ph: (210) 240-6243 | Brandon Mccullough Dental Corporation 210 S Montclair St Bakersfield CA 93309-3164 Ph: (210) 240-6243 |
| NPI Number | 1548866445 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 01/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548866445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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