| Doctor Name: | DR. BRIAN L. CULLEN |
| NPI Number: | 1043376320 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.M.D. |
| License Number: | AZ4111 |
| Business Practice Address: | 2359 S 22nd Dr Suite 1 Yuma, AZ - 853648871 |
| Business Phone Number: | 9283299565 |
| Business Fax Number: | 9287830669 |
| Mailing Address: | 2359 S 22nd Dr, Suite 1 YUMA |
| State: | AZ |
| Postal Code: | 853648871 |
| Phone Number: | 9283299565 |
| Fax Number: | 9287830669 |
| NPI Enumeration Date: | 12/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | AZ4111 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |