Darryal Donerlson Mccullough, DDS Valid NPI
Individual provider · General Practice Dentistry · Morrow, GA
- NPI
- 1225131337
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- DN010775 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-09-06
- Last updated
- 2007-07-08
Practice location
2339 Lake Harbin Rd
Morrow, GA 30260-1905
(770) 961-1222