Organization
CAROTHERS FAMILY DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH C SULLIVAN III DDS (PRESIDENT)
(512) 396-4288
Entity
Organization
Contact information
Practice address
310 STAGECOACH TRAIL, SUITE 700, SAN MARCOS, TX 78666
(512) 396-4288
(512) 396-4379
Mailing address
310 STAGECOACH TRL, SUITE 700, SAN MARCOS, TX 78666-5134
(512) 396-4288
(512) 396-4379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10995
TX
Other
Enumeration date
01/12/2007
Last updated
03/11/2021
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