| NPI | 1477255859 |
|---|---|
| Doing Business As | CENTER FOR SLEEP & TMJ |
| Entity Type | Organization |
| Authorized Contact | BRIAN GENE BRIESEMEISTER Executive 757-929-7100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2024-03-21 |