Individual
DR. DAVID KEVIN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9550 REGENCY SQUARE BLVD, SUITE 600, JACKSONVILLE, FL 32225-8116
(904) 724-5544
Mailing address
9550 REGENCY SQUARE BLVD, SUITE 600, JACKSONVILLE, FL 32225-8116
(904) 724-5544
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN8993
FL
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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