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DR. MARK PHILIP SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6545 FRANCE AVE S STE 366, EDINA, MN 55435-2121
(952) 241-5851
Mailing address
6545 FRANCE AVE S STE 366, EDINA, MN 55435-2121
(952) 241-5851

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D13501
MN

Other

Enumeration date
08/02/2013
Last updated
12/01/2020
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