Individual
DR. KENNETH JAMES SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
928 ARNOLD AVE, POINT PLEASANT BORO, NJ 08742-2305
(732) 899-0222
(732) 892-5352
Mailing address
928 ARNOLD AVE, POINT PLEASANT BORO, NJ 08742-2305
(732) 899-0222
(732) 892-5352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01478000
NJ
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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