Sullivan Dental Partnership, LLC

NPI #1275700817 in Sullivan, Missouri

Provider Information

NPI Number
1275700817
Entity Type
Organization
Organization Name
Sullivan Dental Partnership, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 13, 2008
Last Updated
May 13, 2008

Practice Location

Address
300 WALMART DR
ZIP Code
63080-3333
Phone
(573) 860-2552

Authorized Official

Name
DR. BARRY D BRACE, DMD
Title
DENTIST/OWNER
Phone
(314) 965-7838

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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