| NPI | 1982105904 |
|---|---|
| Doing Business As | DENTAL SLEEP DOC |
| Entity Type | Organization |
| Authorized Contact | ERICA MARGUERITE JOHANNES President 920-254-9865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC 4571) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-02-25 |
| Last Update Date | 2021-07-22 |