Search › Georgia › 122300000X
Mordena Sullen, DMD
NPI 1699929737 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1099 Martin Luther King Jr., Drive
Atlanta, GA 30314 - Phone
- (404) 752-7777
- Fax
- (404) 752-6877
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-11-14
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 Georgia