| NPI | 1538207485 |
|---|---|
| Doing Business As | SOUTHEAST DENTAL SLEEP THERAPY |
| Entity Type | Organization |
| Authorized Contact | JAMES C GOFF Owner/President 401-374-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: RI 1515) |
| Additional Taxonomies | 122300000X Dentist (Licence: RI 1515) |
| 122300000X Dentist (Licence: MA 19445) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2011-09-01 |