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Preddis Sullivan, DDS
NPI 1477616662 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1619 N Waterfront Pkwy
Wichita, KS 67206 - Phone
- (316) 462-3354
- Organisation at this address
- Trinity River Dental Professional Corporation
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas