DR. Scott Louis Sullivan, DDS
NPI #1063612844 in Santa Rosa, California
Provider Information
- NPI Number
- 1063612844
- Entity Type
- Individual
- Name
- DR. Scott Louis Sullivan, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 20, 2007
- Last Updated
- Jul 20, 2007
Practice Location
- Address
- 76 DOCTORS PARK DR.
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95405-6615
- Phone
- (707) 546-6367
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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