Organization
SULLIVAN ORTHODONTICS INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERENCE C SULLIVAN DDS, MSD (OWNER)
(425) 385-2641
Entity
Organization
Contact information
Practice address
15224 MAIN ST, SUITE 302, MILL CREEK, WA 98012-7332
(425) 385-2641
(425) 385-2644
Mailing address
15224 MAIN ST, SUITE 302, MILL CREEK, WA 98012-7332
(425) 385-2641
(425) 385-2644
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00006911
WA
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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