DANIEL T. SULLIVAN

SAINT LOUIS, MO
NPI1942338777
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  12242)
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
-- DANIEL T. SULLIVAN D.D.S.
7247 DELMAR BLVD
SAINT LOUIS, MO 63130-4105
Phone number: 314-727-1319
Mailing Address
-- DANIEL T. SULLIVAN D.D.S.
7247 DELMAR BLVD
SAINT LOUIS, MO 63130-4105
Phone number: 314-727-1319
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