Larry D Sullivan, DDS
NPI #1003986928 in Willits, California
Provider Information
- NPI Number
- 1003986928
- Entity Type
- Individual
- Name
- Larry D Sullivan, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Nov 8, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 45 HAZEL ST
- City
- Willits
- State
- California
- ZIP Code
- 95490-4222
- Phone
- (707) 456-9700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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