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1306025440
MICHAEL EDWARD SULLIVAN
DOWNEY, CA
NPI
1306025440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 20274)
Enumeration Date
2007-10-25
Last Update Date
2007-10-25
Business Address
-- MICHAEL EDWARD SULLIVAN DDS
11116 RIVES AVE
DOWNEY, CA 90241
Phone number: 562-862-4892
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Mailing Address
-- MICHAEL EDWARD SULLIVAN DDS
11116 RIVES AVE
DOWNEY, CA 90241
Phone number: 562-862-4892
Copy
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