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1477659167
GRACIELA KUATA SULLIVAN
HUNTINGTON BEACH, CA
NPI
1477659167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist Pediatric Dentistry
(Licence: CA 50535)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
DR. GRACIELA KUATA SULLIVAN DDS., MS
5112 WARNER AVE SUITE 104
HUNTINGTON BEACH, CA 92649-6036
Phone number: 714-377-2628
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Mailing Address
DR. GRACIELA KUATA SULLIVAN DDS., MS
5112 WARNER AVE SUITE 104
HUNTINGTON BEACH, CA 92649-6036
Phone number: 714-377-2628
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