| NPI | 1346718244 |
|---|---|
| Doing Business As | SULLIVAN FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KYLE SULLIVAN Owner/Dentist 509-525-3522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |