NPI | 1568226934 |
---|---|
Doing Business As | CAROLINA TMJ AND SLEEP SOLUTIONS |
Entity Type | Organization |
Authorized Contact | BETH LOUISE ILLSLEY Director Of Insurance 864-419-4516 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-02-07 |
Last Update Date | 2024-02-07 |