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Organization
TARA SULLIVAN, DDS PLLC
Active
Organization
TARA SULLIVAN, DDS PLLC
Active
Other names
THE DENTAL SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
TARA MARIE SULLIVAN DDS (OWNER)
(206) 829-8432
Entity
Organization
Contact information
Practice address
1203 E PINE STREET, SEATTLE, WA 98122
(206) 829-8432
Mailing address
1203 E PINE STREET, SEATTLE, WA 98122
(206) 829-8432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010943
WA
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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