DR. Tracy C Sullivan, DDS
NPI #1275547101 in Port Orchard, Washington
Provider Information
- NPI Number
- 1275547101
- Entity Type
- Individual
- Name
- DR. Tracy C Sullivan, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1880 POTTERY AVE
- Address 2
- SUITE 200
- City
- Port Orchard
- State
- Washington
- ZIP Code
- 98366-2518
- Phone
- (360) 895-4321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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