Individual
TERRI RYAN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
MONROE COMMUNITY HOSPITAL, 435 E HENRIETTA RD, ROCHESTER, NY 14620
(585) 760-6040
Mailing address
24 HUNT HOLW, ROCHESTER, NY 14624-4370
(585) 794-3442
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
021097-01
NY
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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