| NPI | 1780190553 |
|---|---|
| Doing Business As | KOALA CENTER FOR SLEEP DISORDERS |
| Entity Type | Organization |
| Authorized Contact | KRISSY CONNOR Owner 262-923-7879 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2020-06-14 |