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)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