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Organization
VIRGINIA TOTAL SLEEP PLLC
Active
Organization
VIRGINIA TOTAL SLEEP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER THOMAS VAUGHAN DDS (OWNER)
(804) 625-4064
Entity
Organization
Contact information
Practice address
10120 W BROAD ST STE I, GLEN ALLEN, VA 23060-6709
(804) 625-4064
(804) 625-4066
Mailing address
10120 W BROAD ST STE I, GLEN ALLEN, VA 23060-6709
(804) 625-4064
(804) 625-4066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
1223X2210X
Orofacial Pain Dentistry
—
NULL
1223X2210X
Orofacial Pain Dentistry
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
02/20/2019
Last updated
03/30/2023
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