Provider Demographics
NPI:1811121114
Name:DR.S SULLIVAN, KAIHARA & WATKINS
Entity type:Organization
Organization Name:DR.S SULLIVAN, KAIHARA & WATKINS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:G
Authorized Official - Last Name:KAIHARA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-466-3333
Mailing Address - Street 1:2440 M ST NW STE 610
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1497
Mailing Address - Country:US
Mailing Address - Phone:202-466-3333
Mailing Address - Fax:202-466-4155
Practice Address - Street 1:6845 ELM ST STE 475
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-6051
Practice Address - Country:US
Practice Address - Phone:703-356-3556
Practice Address - Fax:703-356-3804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-14
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty