DR. Laura Grace Sullivan, DMD
NPI #1649409632 in Saint Johns, Florida
Provider Information
- NPI Number
- 1649409632
- Entity Type
- Individual
- Name
- DR. Laura Grace Sullivan, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DMD
- Enumeration Date
- Jul 10, 2009
- Last Updated
- Aug 2, 2013
Practice Location
- Address
- 1949 CR 210 W
- City
- Saint Johns
- State
- Florida
- ZIP Code
- 32259-2062
- Phone
- (904) 402-4409
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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