Tara Sullivan, DDS Pllc

NPI #1215295498 in Seattle, Washington

Provider Information

NPI Number
1215295498
Entity Type
Organization
Organization Name
Tara Sullivan, DDS Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 25, 2012
Last Updated
Apr 25, 2012

Practice Location

Address
1203 E PINE STREET
ZIP Code
98122
Phone
(206) 829-8432

Authorized Official

Name
TARA MARIE SULLIVAN, DDS
Title
OWNER
Phone
(206) 829-8432

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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