Search › Washington › 1223G0001X
Kyle Sullivan, DMD
NPI 1962558106 · on the registry since 2007 · sole proprietor
Practice
- Address
- 121 W Poplar St
Ste A
Walla Walla, WA 99362 - Phone
- (509) 525-3522
- Organisation at this address
- A S Pearson Jr Dds Ps
Kyle D Sullivan, Dmd, Pllc
Randolph C. Pearson, D.D.S., P.S.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- UT, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-04-06
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 Washington