Raymondville Dental
NPI #1538606595 in Raymondville, Texas
Provider Information
- NPI Number
- 1538606595
- Entity Type
- Organization
- Organization Name
- Raymondville Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 27, 2017
- Last Updated
- Jan 27, 2017
Practice Location
- Address
- 957 E HIDALGO AVE
- Address 2
- STE. # B2
- City
- Raymondville
- State
- Texas
- ZIP Code
- 78580-4149
- Phone
- (956) 699-3999
Authorized Official
- Name
- DR. MICHAEL ROBERT SULLIVAN, DDS
- Title
- OWNER
- Phone
- (956) 699-3999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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