DR. Daniel James Sullivan III, D.D.S.

NPI #1558385815 in Moscow, Pennsylvania

Provider Information

NPI Number: 1558385815
Entity Type: Individual
Name: DR. Daniel James Sullivan III, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jul 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 109 N MAIN ST
City: Moscow
State: Pennsylvania
ZIP Code: 18444-9020
Phone: (570) 842-4255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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