Individual
DENNIS J SULLIVAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 ALHAMBRA BLVD, #410, SACRAMENTO, CA 95816-5238
(916) 457-4263
Mailing address
4878 KIPLING DR, CARMICHAEL, CA 95608-6274
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A21889
CA
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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