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Individual

DR. MARY LINDA SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1106 HACKBERRY LN, TUSCALOOSA, AL 35401-3115
(205) 758-8872
(205) 758-8272
Mailing address
1106 HACKBERRY LN, TUSCALOOSA, AL 35401-3115
(205) 758-8872
(205) 758-8272

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4742
AL

Other

Enumeration date
11/02/2006
Last updated
07/08/2007
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