Kyle Sullivan, DMD
NPI #1962558106 in Walla Walla, Washington
Provider Information
- NPI Number
- 1962558106
- Entity Type
- Individual
- Name
- Kyle Sullivan, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jan 27, 2007
- Last Updated
- Apr 6, 2011
Practice Location
- Address
- 121 W POPLAR ST
- Address 2
- STE A
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-2871
- Phone
- (509) 525-3522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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