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1366198467
MATILDA DAUS SULLIVAN
PHILADELPHIA, PA
NPI
1366198467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: PA DS044472)
Enumeration Date
2022-02-28
Last Update Date
2024-08-27
Business Address
MATILDA DAUS SULLIVAN DDS
1352 SOUTH ST # C5
PHILADELPHIA, PA 19147-1858
Phone number: 267-909-9551
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Mailing Address
MATILDA DAUS SULLIVAN DDS
2011 BAINBRIDGE ST APT 2
PHILADELPHIA, PA 19146-1308
Phone number: 434-610-7021
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