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1689744831
DANIEL RAY CULLUM
COEUR D ALENE, ID
NPI
1689744831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: ID D3149-0s)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
Dr. DANIEL RAY CULLUM DDS
1859 N LAKEWOOD DR SUITE 101
COEUR D ALENE, ID 83814-2661
Phone number: 208-667-5565
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Mailing Address
Dr. DANIEL RAY CULLUM DDS
1859 N LAKEWOOD DR SUITE 101
COEUR D ALENE, ID 83814-2661
Phone number: 208-667-5565
Copy
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