Kyle D Sullivan, Dmd, Pllc
NPI #1346718244 in Walla Walla, Washington
Provider Information
- NPI Number
- 1346718244
- Entity Type
- Organization
- Organization Name
- Kyle D Sullivan, Dmd, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 8, 2018
- Last Updated
- Nov 8, 2018
Practice Location
- Address
- 121 W POPLAR ST STE A
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-2871
- Phone
- (509) 525-3522
Authorized Official
- Name
- KYLE SULLIVAN, DMD
- Title
- OWNER/DENTIST
- Phone
- (509) 525-3522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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