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1952632507
DAVID JOSEPH SULLIVAN
REDMOND, OR
NPI
1952632507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: OR D9384)
Enumeration Date
2010-01-21
Last Update Date
2010-01-21
Business Address
DR. DAVID JOSEPH SULLIVAN DDS, MSD
413 NW LARCH AVE SUITE 201
REDMOND, OR 97756-1361
Phone number: 541-316-2024
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Mailing Address
DR. DAVID JOSEPH SULLIVAN DDS, MSD
PO BOX 2326
BEND, OR 97709-2326
Phone number: 541-316-2024
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