THOMAS ALEXANDER SULLIVAN

FT GORDON, GA
NPI1104892306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  11292)
Enumeration Date2006-02-27
Last Update Date2007-07-08
Business Address
Dr. THOMAS ALEXANDER SULLIVAN DDS
BLDG 38717 38TH STREET USA DENTAC
FT GORDON, GA 30905-5660
Phone number: 706-787-6927
Mailing Address
Dr. THOMAS ALEXANDER SULLIVAN DDS
NATTC NAVY DENTAL CLINIC 760 E. AVE. BUILD. 3911
PENSACOLA, FL 32508
Phone number: 850-452-8900