DR. David Joseph Sullivan, DDS, MSD

NPI #1952632507 in Redmond, Oregon

Provider Information

NPI Number: 1952632507
Entity Type: Individual
Name: DR. David Joseph Sullivan, DDS, MSD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: DDS, MSD
Enumeration Date: Jan 21, 2010
Last Updated: Jan 21, 2010

Practice Location

Address: 413 NW LARCH AVE
Address 2: SUITE 201
City: Redmond
State: Oregon
ZIP Code: 97756-1361
Phone: (541) 316-2024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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