Individual
STEVE T SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
6588 E MAIN ST, FARMINGTON, NM 87402-5122
(505) 326-6800
(505) 326-5809
Mailing address
6588 E MAIN ST, FARMINGTON, NM 87402-5122
(505) 326-6800
(505) 326-5809
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH2897
NM
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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