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Organization
COASTAL SLEEP SOLLUTIONS LLC
Active
Organization
COASTAL SLEEP SOLLUTIONS LLC
Active
Other names
Coastal Sleep Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP W. COOPER JR. D.D.S. (CLINACAL DIRECTOR)
(912) 544-0484
Entity
Organization
Contact information
Practice address
413 W DUFFY ST, SAVANNAH, GA 31401-6716
(912) 544-0484
(912) 234-2844
Mailing address
413 W DUFFY ST, SAVANNAH, GA 31401-6716
(912) 544-0484
(912) 234-2844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
C-A8412
GA
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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