| NPI | 1235495821 |
|---|---|
| Doing Business As | SULLIVAN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PATRICK SULLIVAN President 402-362-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |