| NPI | 1871097139 |
|---|---|
| Doing Business As | INNOVATIVE SLEEP CONCEPTS |
| Entity Type | Organization |
| Authorized Contact | DOROTHY HERNANDEZ Credentialing Agent 928-779-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 3476) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-02-20 |