Individual provider · Type 1 NPI
Maenell Sullivan, DENTURIST DPD
Denturist · Tenino, WA
NPI number
1679675367
Active
Practice location
296 Sussex Ave W
Tenino, WA 98589
Fax (360) 264-5500
Mailing address
PO Box 1051
Tenino, WA 98589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Denturist Primary | 122400000X | DN361 (WA) |
Denturist: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
Another provider at this address
About NPI 1679675367
Maenell Sullivan, DENTURIST DPD's National Provider Identifier is 1679675367, issued on Sep 2, 2006. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Tenino, WA. The record was last updated on Jul 8, 2007.