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Beacon Dental Center Gaylord

NPI #1134599251 in Gaylord, Michigan

Provider Information

NPI Number
1134599251
Entity Type
Organization
Organization Name
Beacon Dental Center Gaylord
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 1, 2015
Last Updated
Oct 1, 2015

Practice Location

Address
1723 W M 32
Address 2
BUILDING B
City
Gaylord
State
Michigan
ZIP Code
49735-9544
Phone
(989) 448-2802

Authorized Official

Name
DR. MICHAEL A SULLIVAN, DDS
Title
OWNER / DOCTOR
Phone
(231) 547-9141

Specialties & Taxonomy Codes

Specialty
Dentist - General Practice — General Practice

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