Individual
DR. VICTORIA KARRYN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
(702) 774-2416
Mailing address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
(702) 774-2682
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
33661
TX
122300000X
Dentist
42679
CA
1223P0221X
Pediatric Dentistry
42679
CA
1223P0221X
Pediatric Dentistry
Primary
S6-182C
NV
Other
Enumeration date
08/11/2014
Last updated
07/31/2020
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