| NPI | 1033683859 |
|---|---|
| Doing Business As | SLEEP DISORDER DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BANNAN Owner 910-679-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2020-01-10 |