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
- City
- Seattle
- State
- Washington
- 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 Practice — General Practice |
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