NPI | 1316239619 |
---|---|
Doing Business As | GRACIELA SULLIVAN DDS. MS. PEDIATRIC DENTIST |
Entity Type | Organization |
Authorized Contact | GRACIELA K SULLIVAN Chief Executive Officer 714-377-2628 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2011-05-05 |
Last Update Date | 2011-05-05 |