Individual
DR. DENNIS J. SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
416 E RIVER ST, GRAND LEDGE, MI 48837-1754
(517) 627-9081
(517) 627-8239
Mailing address
416 E RIVER ST, GRAND LEDGE, MI 48837-1754
(517) 627-9081
(517) 627-8239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12854
MI
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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