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1699929737
MORDENA T SULLEN
ATLANTA, GA
NPI
1699929737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: GA 10426)
Enumeration Date
2008-11-14
Last Update Date
2008-11-14
Business Address
DR. MORDENA T SULLEN DMD
1099 MARTIN LUTHER KING JR., DRIVE
ATLANTA, GA 30314
Phone number: 404-752-7777
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Mailing Address
DR. MORDENA T SULLEN DMD
P O BOX 50101
ATLANTA, GA 30302
Phone number: 404-752-7777
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