| NPI | 1649437286 |
|---|---|
| Former Legal Business Name | SULLIVAN DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | FRANK V SULLIVAN General Dentist Owner 225-635-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-27 |