DR. Daren T Sullivan, DDS
NPI #1063649671 in Fargo, North Dakota
Provider Information
- NPI Number
- 1063649671
- Entity Type
- Individual
- Name
- DR. Daren T Sullivan, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 22, 2009
- Last Updated
- May 17, 2016
Practice Location
- Address
- 1231 27TH ST S STE C
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-8722
- Phone
- (701) 232-6983
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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