DR. Andrea Lee Sullivan, DMD

NPI #1871092502 in Glen Carbon, Illinois

Provider Information

NPI Number
1871092502
Entity Type
Individual
Name
DR. Andrea Lee Sullivan, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Feb 8, 2018
Last Updated
Mar 17, 2018

Practice Location

Address
3024 SOUTH IL-159
ZIP Code
62034
Phone
(855) 579-2158

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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