| NPI | 1255882908 |
|---|---|
| Doing Business As | SC DENTAL SLEEP CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | BETH LOUISE ILLSLEY Director Of Insurance 864-282-1935 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2024-04-11 |