Individual
BARRY SULLIVAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4009 N FLOWING WELLS RD, TUCSON, AZ 85705-2404
(520) 408-0836
(520) 293-2964
Mailing address
4009 N FLOWING WELLS RD, TUCSON, AZ 85705-2404
(520) 408-0836
(520) 293-2964
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5607
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
695926
—
AZ
Enumeration date
02/06/2006
Last updated
07/08/2007
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