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1407056112
MARK ROBERT SULLIVAN
SHELBY TOWNSHIP, MI
NPI
1407056112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 12343)
Enumeration Date
2007-07-20
Last Update Date
2016-05-25
Business Address
Dr. MARK ROBERT SULLIVAN DDS
54951 MOUND RD
SHELBY TOWNSHIP, MI 48316-6028
Phone number: 586-797-9118
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Mailing Address
Dr. MARK ROBERT SULLIVAN DDS
55191 SHELBY RD
SHELBY TOWNSHIP, MI 48316-1150
Phone number: 586-797-9118
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