Individual
CHRISTINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
792 STILLWATER AVE, GLENBURN, ME 04401-3617
(207) 947-1166
Mailing address
8 ADAMS DR, COVENTRY, RI 02816-6213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN5141
ME
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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