MICHAEL WARREN SULLIVAN

LENEXA, KS
NPI1245241728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KS  6127)
Enumeration Date2006-08-10
Last Update Date2007-07-08
Business Address
-- MICHAEL WARREN SULLIVAN DDS
12136 W 87TH ST PKWY
LENEXA, KS 66215-2893
Phone number: 913-492-5052
Mailing Address
-- MICHAEL WARREN SULLIVAN DDS
12136 W 87TH ST PKWY
LENEXA, KS 66215-2893
Phone number: 913-492-5052
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