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1407267164
SHANNON SULLIVAN
NEW YORK, NY
NPI
1407267164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OH 024571)
Enumeration Date
2014-05-15
Last Update Date
2016-09-14
Business Address
-- SHANNON SULLIVAN DDS
100 HAVEN AVE
NEW YORK, NY 10032-2645
Phone number: 212-342-0107
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Mailing Address
-- SHANNON SULLIVAN DDS
100 HAVEN AVE
NEW YORK, NY 10032-2645
Phone number:
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