Individual
DR. CRAIG DOUGLAS SULLIVAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10400 RIDGLAND RD, SUITE 6, COCKEYSVILLE, MD 21030-2715
(410) 666-9544
(410) 666-5509
Mailing address
10400 RIDGLAND RD, SUITE 6, COCKEYSVILLE, MD 21030-2715
(410) 666-9544
(410) 666-5509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6630
MD
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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