SCOTT LOUIS SULLIVAN

SANTA ROSA, CA
NPI1063612844
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  44095)
Enumeration Date2007-07-20
Last Update Date2007-07-20
Business Address
Dr. SCOTT LOUIS SULLIVAN DDS
76 DOCTORS PARK DR.
SANTA ROSA, CA 95405-6615
Phone number: 707-546-6367
Mailing Address
Dr. SCOTT LOUIS SULLIVAN DDS
76 DOCTORS PARK DR.
SANTA ROSA, CA 95405
Phone number: 707-546-6367