Individual
DR. TARA MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1203 E PINE ST, SEATTLE, WA 98122-3921
(206) 829-8432
(206) 922-3294
Mailing address
1203 E PINE ST, SEATTLE, WA 98122-3921
(206) 829-8432
(206) 922-3294
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010943
WA
Other
Enumeration date
08/29/2007
Last updated
08/01/2013
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