Individual
DR. LAURA ELLEN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
56 WALPOLE ST, NORWOOD, MA 02062-3316
(781) 769-1371
(781) 769-4876
Mailing address
56 WALPOLE ST, NORWOOD, MA 02062-3316
(781) 769-1371
(781) 769-4876
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19254
MA
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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