Individual
TERENCE C SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
15224 MAIN ST, SUITE 302, MILL CREEK, WA 98012-7316
(425) 385-2641
(425) 385-2644
Mailing address
15224 MAIN ST, SUITE 302, MILL CREEK, WA 98012-7316
(425) 385-2641
(425) 385-2644
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00006911
WA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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