Tara Sullivan, Dds Pllc

NPI 1215295498 - Dentist - 1223G0001X

NPI Details
NPI 1215295498
Enumeration Date 04/25/2012
Last Updated 04/25/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TARA MARIE TARA
Position OWNER
Phone (206) 829-8432
Fax
Practice Location
1203 E PINE STREET
SEATTLE WA, 98122, US
Phone (206) 829-8432
Fax
Business Location
1203 E PINE STREET
SEATTLE WA, 98122, US
Phone (206) 829-8432
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Washington
License Number DE00010943
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According to our database, Tara Sullivan, Dds Pllc NPI is 1215295498, taxonomy code is 1223G0001X and license number is DE00010943, license state is located at Washington. Tara Sullivan, Dds Pllc physically located at 1203 E Pine Street, Seattle WA, 98122. NPI Number 1033115704 has the healthcare provider type.

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1215295498 NPI number is provided on an as is basis without warranty of any kind. 1215295498 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Sullivan, Dds Pllc are for informational purposes only.