| NPI | 1710794185 |
|---|---|
| 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 |