Brian Lawrence Sullivan, DMD Valid NPI
Individual provider · Dentist · Derry, NH
- NPI
- 1740859966
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 04654 (NH)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-06-22
- Last updated
- 2021-06-22
Practice location
55 E Broadway Unit 1
Derry, NH 03038-2401
(603) 548-3865