SHAWN TIMOTHY MCCULLOUGH

NORTH BRANCH, MN
NPI1023171196
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MN  011245)
Enumeration Date2006-12-19
Last Update Date2007-07-08
Business Address
-- SHAWN TIMOTHY MCCULLOUGH DDS
6041 MAIN STREET SUITE C
NORTH BRANCH, MN 55056
Phone number: 651-674-4811
Mailing Address
-- SHAWN TIMOTHY MCCULLOUGH DDS
PO BOX 40 6041 MAIN STREET SUITE C
NORTH BRANCH, MN 55056
Phone number: 651-674-4811