TERENCE KEVIN SULLIVAN

COVINGTON, LA
NPI1093931057
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  2764)
Enumeration Date2007-04-18
Last Update Date2007-07-08
Business Address
Dr. TERENCE KEVIN SULLIVAN DMD
206 HIGHLAND PARK PLZ
COVINGTON, LA 70433-7129
Phone number: 985-892-3310
Mailing Address
Dr. TERENCE KEVIN SULLIVAN DMD
206 HIGHLAND PARK PLZ
COVINGTON, LA 70433-7129
Phone number: 985-892-3310
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