Individual
ALLYCE C SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
874 PURCHASE ST, NEW BEDFORD, MA 02740-6232
(508) 992-6553
(508) 990-7558
Mailing address
874 PURCHASE ST, NEW BEDFORD, MA 02740-6232
(508) 992-6553
(508) 990-7558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DEN03184
RI
1223G0001X
General Practice Dentistry
Primary
DN1856259
MA
Other
Enumeration date
06/04/2013
Last updated
07/08/2013
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