MR. John K Sullivan, DDS

NPI #1063564979 in Springfield, Oregon

Provider Information

NPI Number
1063564979
Entity Type
Individual
Name
MR. John K Sullivan, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jan 18, 2007
Last Updated
Mar 24, 2016

Practice Location

Address
498 HARLOW RD
Address 2
SUITE 1
State
Oregon
ZIP Code
97477
Phone
(541) 225-4866

Specialties & Taxonomy Codes

Specialty
Dentist

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