Organization · Type 2 NPI
Kyle D Sullivan, Dmd, PLLC
Dental Clinic/Center · Walla Walla, WA
NPI number
1346718244
Active
Practice location
121 W Poplar St Ste A
Walla Walla, WA 99362-2871
Fax (509) 525-0518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1346718244
Kyle D Sullivan, Dmd, PLLC's National Provider Identifier is 1346718244, issued on Nov 8, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Walla Walla, WA. The record was last updated on Nov 8, 2018.