Female

Candice Richter Sullivan DDS

Pediatric Dentist in St Francisville, LA(View on Map)

Full Name

Candice Richter Sullivan DDS

NPI Number

1700079894

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/22/2007

Specialties

(Taxonomies)

Code

1223P0221X

Primary Taxonomy

Yes

Licenses

State

Louisiana

License Number

4988

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 2880
5436 COMMERCE

City

Saint Francisville
St Francisville

State

LA
LA

Postal Code

70775-2880
70775

Country

US
US

Telephone Number

(225) 635-4422
(225) 635-4422

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2007

Provider Address