Organization
R.L. SULLIVAN, D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LAWRENCE SULLIVAN D.D.S. (ORAL & MAXILLOFACIAL SURGEON)
(413) 967-5833
Entity
Organization
Contact information
Practice address
40 CHURCH ST, WARE, MA 01082-1234
(413) 967-5833
(413) 967-5933
Mailing address
40 CHURCH ST, WARE, MA 01082-1234
(413) 967-5833
(413) 967-5933
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
10928
MA
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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