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Individual

DR. JOSHUA SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
NAVAL HEALTH CLINIC HAWAII, 480 CENTRAL AVENUE, PEARL HARBOR, HI 96860-4908
(808) 474-4242
Mailing address
5601 18TH ST UNIT 55, GREELEY, CO 80634-2985
(970) 310-7738

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12955995-9921
UT

Other

Enumeration date
07/29/2022
Last updated
10/08/2025
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