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NPI Code Detail

MEDICARE: DR. DIANE D. CULLY D.M.D.

MEDICARE: DR. DIANE D. CULLY D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDS024996LPA

General Provider Information

NPI Number : 1639360787
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANE D. CULLY D.M.D.
Provider Business Mailing Address
First Line : 1031 PERRY HWY
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-2123
Country : US
Telephone Number : 412-366-8084
Fax Number : 412-366-8184
Provider Business Practice Location Address
First Line : 1031 PERRY HWY
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-2123
Country : US
Telephone Number : 412-366-8084
Fax Number : 412-366-8184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2007
Last Update Date : 08/05/2007

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