Cody Lee Sullivan, DDS

NPI #1942795877 in Camp Pendleton, California

Provider Information

NPI Number: 1942795877
Entity Type: Individual
Name: Cody Lee Sullivan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 23, 2018
Last Updated: Feb 3, 2025

Practice Location

Address: 200 MERCY CIRCLE
City: Camp Pendleton
State: California
ZIP Code: 92055-5191
Phone: (760) 725-3417

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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