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Organization
SLEEP ENHANCEMENT CENTER LLC
Active
Organization
SLEEP ENHANCEMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER BRUCE GREEN DDS (SLEEP MEDICINE DENTIST)
(507) 437-8009
Entity
Organization
Contact information
Practice address
800 1ST AVE SW, SUITE 111, AUSTIN, MN 55912-2507
(507) 437-8009
Mailing address
800 1ST AVE SW, SUITE 111, AUSTIN, MN 55912-2507
(507) 437-8009
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
D-9111
MN
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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