SULLIVAN DENTISTRY,LLC

MUKWONAGO, WI
NPI1780877571
Entity TypeOrganization
Authorized ContactJOHN S SULLIVAN
Owner
262-642-2296
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: WI  5098-015)
Enumeration Date2007-08-24
Last Update Date2007-08-24
Business Address
SULLIVAN DENTISTRY,LLC
920 GREENWALD CT STE 300
MUKWONAGO, WI 53149-1711
Phone number: 262-642-2296
Mailing Address
SULLIVAN DENTISTRY,LLC
N9225 S SHORE DR
EAST TROY, WI 53120-2178
Phone number: 262-642-2296
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