| NPI | 1003550625 |
|---|---|
| Doing Business As | SULLIVAN DENTAL CO |
| Entity Type | Organization |
| Authorized Contact | MISTY GRAVES Practice Administrator 615-469-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-08-29 |