BRETT MICHAEL SULLIVAN D.M.D., M.D.
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1629268966- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.M.D., M.D.
- Status
- Active
Contact & Location
- Address
- 11211 SE SUNNYSIDE RD, CLACKAMAS, OR, 970157787
- Phone
- (503) 652-8080
- Fax
- (503) 526-8992
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: OR #D9737
Dentist
License: MO #2007019263