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Individual

DR. BERNARD J SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
12201 S HARLEM AVE, PALOS HEIGHTS, IL 60463-1474
(708) 671-9245
Mailing address
12201 S HARLEM AVE, PALOS HEIGHTS, IL 60463-1474
(708) 671-9245

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019016768
IL

Other

Enumeration date
07/29/2008
Last updated
07/29/2008
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