| NPI | 1912441064 |
|---|---|
| Other Name | ROSEVILLE DENTAL GROUP SLEEP SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | RANDALL SHAWN KELLY Owner 916-773-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 29984) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2017-04-05 |