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Organization
DAVID M. SULLIVAN DMD, PC
Active
Organization
DAVID M. SULLIVAN DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M SULLIVAN DMD (DENTIST)
(508) 273-0110
Entity
Organization
Contact information
Practice address
40 CHURCH AVE, SUITE 203, WAREHAM, MA 02571-2093
(508) 273-0110
(508) 273-0112
Mailing address
40 CHURCH AVE, SUITE 203, WAREHAM, MA 02571-2093
(508) 273-0110
(508) 273-0112
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19523
MA
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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