NPI | 1053936484 |
---|---|
Doing Business As | KOALA CENTER FOR SLEEP & TMJ DISORDERS - IN3 |
Entity Type | Organization |
Authorized Contact | MORGAN STEELY Dds 574-800-5080 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2020-06-11 |
Last Update Date | 2025-03-04 |