Individual
DR. SEAN TIMOTHY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
18625 HOICH DR, OMAHA, NE 68136-1233
(402) 891-7990
Mailing address
18625 HOICH DR, OMAHA, NE 68136-1233
(402) 891-7990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5674
NE
1223G0001X
General Practice Dentistry
Primary
37607
CA
Other
Enumeration date
02/07/2007
Last updated
12/02/2010
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