JACKSON L. SULLIVAN D.D.S., P.C.

EDMOND, OK
NPI1336366244
Entity TypeOrganization
Authorized ContactJACKSON L SULLIVAN
Doctor
405-844-8444
Organization Subpart ?Yes
Primary Taxonomy1223E0200X Dentist Endodontics
(Licence: OK  5244)
Enumeration Date2007-04-20
Last Update Date2008-06-12
Business Address
JACKSON L. SULLIVAN D.D.S., P.C.
609 S KELLY AVE STE E1
EDMOND, OK 73003-7501
Phone number: 405-844-8444
Mailing Address
JACKSON L. SULLIVAN D.D.S., P.C.
609 S KELLY AVE STE E1
EDMOND, OK 73003-7501
Phone number: 405-844-8444
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