Organization
SULLIVAN FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYCE COLETTE SULLIVAN DMD (OWNER)
(508) 692-8289
Entity
Organization
Contact information
Practice address
1209 SOMERSET AVE, #3, DIGHTON, MA 02715-1224
(508) 692-8289
Mailing address
1209 SOMERSET AVE, #3, DIGHTON, MA 02715-1224
(508) 692-8289
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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