Sullivan Dental Partnership LLC
NPI #1558666768 in Sullivan, Missouri
Provider Information
- NPI Number
- 1558666768
- Entity Type
- Organization
- Organization Name
- Sullivan Dental Partnership LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Jan 19, 2011
- Last Updated
- Jan 19, 2011
Practice Location
Authorized Official
- Name
- BARRY D BRACE, MD
- Title
- PRESIDENT
- Phone
- (573) 860-2552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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