Individual
DR. ANNELISE HELEN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
8803 BRECKSVILLE RD, BRECKSVILLE, OH 44141-1932
(440) 526-7506
(440) 526-7546
Mailing address
8803 BRECKSVILLE RD, BRECKSVILLE, OH 44141-1932
(440) 526-7506
(440) 526-7546
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30.023192
OH
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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