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Organization
JOHN M. SULLIVAN DDS, PLLC
Active
Organization
JOHN M. SULLIVAN DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M. SULLIVAN DDS (OWNER)
(810) 742-6060
Entity
Organization
Contact information
Practice address
5136 DAVISON RD, BURTON, MI 48509-1569
(810) 742-6060
(810) 742-3022
Mailing address
5136 DAVISON RD, BURTON, MI 48509-1569
(810) 742-6060
(810) 742-3022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012666
MI
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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