Organization Name: | SOUND SLEEP DENTAL |
NPI Number: | 1831455237 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDWARD SHAPIRO (PRESIDENT) |
Mailing Address: | 530 W Tefft St Nipomo |
State: | CA US |
Postal Code: | 934448946 |
Phone Number: | 8059296814 |
Fax Number: | 8059292074 |
NPI Enumeration Date: | 04/10/2012 |
NPI Last Update Date: | 05/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 54766 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |