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1164926788
ROBERT LYLE MCCULLOUGH
TIGARD, OR
NPI
1164926788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D11114)
Enumeration Date
2018-03-20
Last Update Date
2019-09-10
Business Address
Dr. ROBERT LYLE MCCULLOUGH DMD
11820 SW KING JAMES PL STE 20
TIGARD, OR 97224-2481
Phone number: 503-968-2901
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Mailing Address
Dr. ROBERT LYLE MCCULLOUGH DMD
27440 SW VANDERSCHUERE RD
HILLSBORO, OR 97123-9439
Phone number: 503-964-8909
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