| NPI | 1154482818 |
|---|---|
| Doing Business As | LDG SLEEP ACADEMY |
| Entity Type | Organization |
| Authorized Contact | TODD MITCHELL RETELL President 716-433-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NY 041617) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-07-07 |