Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MAENELL SULLIVAN, DENTURIST DPD
ActiveMS. MAENELL SULLIVAN, DENTURIST DPD is a 122400000X healthcare provider located in TENINO, Washington. NPI 1679675367 is currently active in the NPPES registry. Verify at CMS.
122400000X · TENINO, WA
Registration Details
- NPI Number
- 1679675367
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 2, 2006 (19.947628172071 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DN361 (WA)
Practice Information
- Address
-
296 SUSSEX AVE WTENINO, WA, 98589Browse WA providers · Browse ZIP 98589
- Phone
- 3602645500
- Fax
- 3602645500
- Primary Specialty
-
122400000X
122400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.