Individual
DR. KAITLIN ANNE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8559 EDINBROOK PKWY, MINNEAPOLIS, MN 55443-3747
(763) 425-3644
Mailing address
8559 EDINBROOK PKWY, MINNEAPOLIS, MN 55443-3747
(763) 425-3644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13657
MN
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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