| Dental Sleep Med Systems, Inc. | |
|
3025 Mchenry Ave Suite N Modesto CA 95350-1466 | |
| (209) 527-1995 | |
| (866) 527-2335 |
| Full Name | Dental Sleep Med Systems, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 3025 Mchenry Ave, Modesto, California |
| Authorized Official Name and Position | Marty Richard Lipsey (PRESIDENT) |
| Authorized Official Contact | 2095271995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Sleep Med Systems, Inc. 3025 Mchenry Ave Suite N Modesto CA 95350-1466 Ph: (209) 527-1995 | Dental Sleep Med Systems, Inc. 3025 Mchenry Ave Suite N Modesto CA 95350-1466 Ph: (209) 527-1995 |
| NPI Number | 1730473034 |
|---|---|
| Provider Enumeration Date | 06/03/2011 |
| Last Update Date | 06/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730473034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 26675 (California) | Primary |
| 122300000X | Dentist | 27009 (Texas) | Secondary |
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