Organization
PATRICIA A SULLIVAN, DMD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA ANNE SULLIVAN D.M.D. (PRESIDENT)
(352) 372-3600
Entity
Organization
Contact information
Practice address
3720 NW 43RD ST, SUITE 102, GAINESVILLE, FL 32606-6190
(352) 372-3600
(352) 374-8933
Mailing address
3720 NW 43RD ST, SUITE 102, GAINESVILLE, FL 32606-6190
(352) 372-3600
(352) 374-8933
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN10647
FL
Other
Enumeration date
07/02/2007
Last updated
07/15/2008
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