KENNETH SULLIVAN

CAPE GIRARDEAU, MO
NPI1689756272
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MO  2006013084)
Enumeration Date2006-10-20
Last Update Date2008-09-10
Business Address
-- KENNETH SULLIVAN DMD
2439 BLOOMFIELD RD
CAPE GIRARDEAU, MO 63703-6415
Phone number: 573-335-5199
Mailing Address
-- KENNETH SULLIVAN DMD
2439 BLOOMFIELD RD
CAPE GIRARDEAU, MO 63703-6415
Phone number: 573-335-5199
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