NPI | 1184431553 |
---|---|
Doing Business As | CENTER FOR SLEEP & TMJ |
Entity Type | Organization |
Authorized Contact | BRIAN GENE BRIESEMEISTER Owner 757-484-1444 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2024-12-18 |
Last Update Date | 2024-12-18 |