Sycamore Family Dentistry, Ltd.

NPI #1104011808 in Sycamore, Illinois

Provider Information

NPI Number: 1104011808
Entity Type: Organization
Organization Name: Sycamore Family Dentistry, Ltd.
Primary Specialty: Dentist
Enumeration Date: Sep 6, 2007
Last Updated: Sep 6, 2007

Practice Location

Address: 645 PLAZA DR
City: Sycamore
State: Illinois
ZIP Code: 60178-2719
Phone: (815) 895-2298

Authorized Official

Name: DR. JOSEPH T SULLIVAN, DDS
Title: OWNER/DENTIST
Phone: (815) 895-2298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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