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Organization
MODERN SLEEP SOLUTIONS PLLC
Active
Organization
MODERN SLEEP SOLUTIONS PLLC
Active
Other names
Sleep Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEANE E FEDOSKY DDS (OWNER)
(214) 538-9780
Entity
Organization
Contact information
Practice address
3447 RENNER RD # 100A, PLANO, TX 75074-0051
(972) 496-0515
(469) 440-9198
Mailing address
3447 RENNER RD # 100A, PLANO, TX 75074-0051
(972) 496-0515
(469) 440-9198
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/08/2013
Last updated
04/27/2022
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