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1851461347
MARK R SULLIVAN DDS
SHELBY TWP, MI
NPI
1851461347
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Entity Type
Organization
Authorized Contact
MARK SULLIVAN
Dentist
586-797-9118
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: MI 12343)
Enumeration Date
2006-11-09
Last Update Date
2007-07-17
Business Address
MARK R SULLIVAN DDS
54951 MOUND ROAD
SHELBY TWP, MI 48316-6028
Phone number: 586-797-9118
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Mailing Address
MARK R SULLIVAN DDS
54951 MOUND ROAD
SHELBY TWP, MI 48316-6028
Phone number: 586-797-9118
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