Individual
DR. DAVID SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5833 PHYLISS LN, MINT HILL, NC 28227-9031
(704) 568-8010
Mailing address
5833 PHYLISS LN, MINT HILL, NC 28227-9031
(704) 568-8010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9503
NC
Other
Enumeration date
03/11/2013
Last updated
11/06/2014
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