DR. John Sullivan, D.D.S.

NPI #1205104627 in Tamuning, Guam

Provider Information

NPI Number: 1205104627
Entity Type: Individual
Name: DR. John Sullivan, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Dec 13, 2011
Last Updated: Dec 13, 2011

Practice Location

Address: 548 S MARINE CORPS DR
City: Tamuning
State: Guam
ZIP Code: 96913-3539
Phone: (671) 646-5824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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