Search › Washington › 122400000X
Maenell Sullivan, DENTURIST DPD
NPI 1679675367 · on the registry since 2006
Practice
- Address
- 296 Sussex Ave W
Tenino, WA 98589 - Phone
- (360) 264-5500
- Fax
- (360) 264-5500
- Organisation at this address
- Tenino Denture Center, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122400000X
122400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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 Washington