| Sleep Dental Services | |
|
1420 S Mills Ave Ste G Lodi CA 95242-4291 | |
| (209) 365-1110 | |
| (209) 772-8666 |
| Full Name | Sleep Dental Services |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
| Location | 1420 S Mills Ave Ste G, Lodi, California |
| Authorized Official Name and Position | James Brian Duhamel (OWNER) |
| Authorized Official Contact | 2097729600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sleep Dental Services Po Box 607 Valley Springs CA 95252-0607 Ph: (209) 772-9600 | Sleep Dental Services 1420 S Mills Ave Ste G Lodi CA 95242-4291 Ph: (209) 365-1110 |
| NPI Number | 1316158140 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 04/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316158140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 23820 (California) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 23820 (California) | Primary |
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