Michael Warren Sullivan, DDS

NPI #1245241728 in Lenexa, Kansas

Provider Information

NPI Number
1245241728
Entity Type
Individual
Name
Michael Warren Sullivan, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Aug 10, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
12136 W 87TH ST PKWY
City
Lenexa
State
Kansas
ZIP Code
66215-2893
Phone
(913) 492-5052

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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