DR. John J Sullivan, DDS

NPI #1457412306 in Lakeside, Arizona

Provider Information

NPI Number: 1457412306
Entity Type: Individual
Name: DR. John J Sullivan, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 13, 2006
Last Updated: Apr 21, 2010

Practice Location

Address: 325 W WHITE MOUNTAIN BLVD
City: Lakeside
State: Arizona
ZIP Code: 85929-6875
Phone: (928) 367-4276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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