DR. James Woodfin Sullivan, DDS

NPI #1255808705 in Bastrop, Texas

Provider Information

NPI Number: 1255808705
Entity Type: Individual
Name: DR. James Woodfin Sullivan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 1, 2018
Last Updated: Nov 1, 2018

Practice Location

Address: 121 KANEOHE LN
City: Bastrop
State: Texas
ZIP Code: 78602-7252
Phone: (512) 775-0395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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