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1740859966
BRIAN LAWRENCE SULLIVAN
DERRY, NH
NPI
1740859966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NH 04654)
Enumeration Date
2021-06-22
Last Update Date
2021-06-22
Business Address
Dr. BRIAN LAWRENCE SULLIVAN DMD
55 E BROADWAY UNIT 1
DERRY, NH 03038-2401
Phone number: 603-548-3865
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Mailing Address
Dr. BRIAN LAWRENCE SULLIVAN DMD
373 HAVERHILL RD
CHESTER, NH 03036-4209
Phone number: 603-548-3865
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