Individual
DR. MARK P. SULLIVAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1440 SOUTH POTTSTOWN PIKE, WEST CHESTER, PA 19380-1271
(610) 436-4088
(610) 436-0679
Mailing address
1440 SOUTH POTTSTOWN PIKE, WEST CHESTER, PA 19380-1271
(610) 436-4088
(610) 436-0679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS022097-L
PA
Other
Enumeration date
06/27/2005
Last updated
07/08/2007
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