institution
Kyle D Sullivan, Dmd, Pllc
Dental Clinic/Center in Walla Walla, Washington
NPI 1346718244

Kyle D Sullivan, Dmd, Pllc is a Dental Clinic/Center based in Walla Walla, WA and is specialized in Dental. Kyle D Sullivan, Dmd, Pllc practices in Walla Walla, WA. The NPI Number for Kyle D Sullivan, Dmd, Pllc is 1346718244 and holds a License No. (Washington).

The current practice location address for Kyle D Sullivan, Dmd, Pllc is 121 W Poplar St Ste A, Walla Walla, WA and can be reached out via phone at 509-525-3522 and via fax at 509-525-0518.

Location: 121 W Poplar St Ste A, Walla Walla, WA, 99362-2871
institution
Provider Profile Details
NPI Number
1346718244
Provider Name
Kyle D Sullivan, Dmd, Pllc
Credential
Provider Entity Type
Organization
Address
121 W Poplar St Ste A, Walla Walla, WA, 99362-2871
Phone Number
509-525-3522
Fax Number
509-525-0518
Provider Enumeration Date
11/08/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
122300000X 05 WA
institution
Provider Business Practice Location Address Details
Address
121 W Poplar St Ste A
City
State
Zip
99362-2871
Phone Number
509-525-3522
Fax Number
509-525-0518
person
Provider Business Mailing Address Details
Address
121 W Poplar St Ste A
City
State
Zip
99362-2871
Phone Number
509-525-3522
Fax Number
509-525-0518
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
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Definition
Definition to come...
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