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1528228871
ROBERT WHALEN SULLIVAN
COMMACK, NY
NPI
1528228871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 22542)
Enumeration Date
2008-06-11
Last Update Date
2008-06-11
Business Address
Dr. ROBERT WHALEN SULLIVAN DDS
4 COCONUT DRIVE
COMMACK, NY 11725-1212
Phone number: 631-368-6393
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Mailing Address
Dr. ROBERT WHALEN SULLIVAN DDS
4 COCONUT DRIVE
COMMACK, NY 11725-1212
Phone number: 631-368-6393
Copy
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