John S Sullivan, DDS

NPI #1457471633 in Mundelein, Illinois

Provider Information

NPI Number: 1457471633
Entity Type: Individual
Name: John S Sullivan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 328 N LAKE ST
City: Mundelein
State: Illinois
ZIP Code: 60060
Phone: (847) 566-5560

Specialties & Taxonomy Codes

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

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