Search › Washington › 122300000X
Willie Mccullum, DDS
NPI 1083622971 · on the registry since 2006
Practice
- Address
- 4002 South 'M' Street
Suite A
Tacoma, WA 98418 - Phone
- (253) 474-0606
- Fax
- (253) 476-3901
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington