SCOTT JEFFREY SULLIVAN

TACOMA, WA
NPI1265950737
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  60758007)
Enumeration Date2017-09-06
Last Update Date2017-09-06
Business Address
SCOTT JEFFREY SULLIVAN DDS
3516 S 47TH ST STE 104
TACOMA, WA 98409-4427
Phone number: 253-475-2160
Mailing Address
SCOTT JEFFREY SULLIVAN DDS
2711 185TH AVE E
LAKE TAPPS, WA 98391-9474
Phone number: 253-468-6113
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