# DESERT MOUNTAIN SLEEP SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174037436
- **Authorized official:** TIM J WILDUNG (MANAGING MEMBER)
- **Authorized official phone:** (602) 391-4107

## Contact information

- **Practice address:** 6920 E SHEA BLVD STE 101, SCOTTSDALE, AZ 85254-6185
- **Practice address phone:** (480) 991-3244
- **Practice address fax:** (480) 991-3244
- **Mailing address:** 7205 E SOUTHERN AVE STE A-122, MESA, AZ 85209-2790
- **Mailing address phone:** (602) 391-4107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/24/2017
- **Last updated:** 11/24/2017