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Organization

SYCAMORE FAMILY DENTISTRY, LTD.

Active
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Organization

SYCAMORE FAMILY DENTISTRY, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH T SULLIVAN DDS (OWNER/DENTIST)
(815) 895-2298
Entity
Organization

Contact information

Practice address
645 PLAZA DR, SYCAMORE, IL 60178-2719
(815) 895-2298
Mailing address
645 PLAZA DR, SYCAMORE, IL 60178-2719
(815) 895-2298

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL

Other

Enumeration date
09/06/2007
Last updated
09/06/2007
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