DR. Brian Lawrence Sullivan JR., DMD

NPI #1740859966 in Derry, New Hampshire

Provider Information

NPI Number: 1740859966
Entity Type: Individual
Name: DR. Brian Lawrence Sullivan JR., DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 22, 2021
Last Updated: Jun 22, 2021

Practice Location

Address: 55 E BROADWAY UNIT 1
City: Derry
State: New Hampshire
ZIP Code: 03038-2401
Phone: (603) 548-3865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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