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Organization
SLEEP WELL LONGVIEW PLLC
Active
Organization
SLEEP WELL LONGVIEW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS L KIRBY DDS (OWNER/PARTNERSHIP)
(903) 663-5895
Entity
Organization
Contact information
Practice address
3121 H G MOSLEY PKWY, LONGVIEW, TX 75605-2942
(903) 663-0861
Mailing address
3121 H G MOSLEY PKWY, LONGVIEW, TX 75605-2942
(903) 663-0861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16065
LICENSE NUMBER
TX
01
—
17240
LICENSE NUMBER
TX
Enumeration date
11/28/2017
Last updated
03/04/2024
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