Individual
DR. LAWRENCE P SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11 SPARTA AVE, SPARTA, NJ 07871-1801
(973) 729-3785
(973) 729-4813
Mailing address
11 SPARTA AVE, SPARTA, NJ 07871-1801
(973) 729-3785
(973) 729-4813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01212400
NJ
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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