Organization
SLEEP RIGHT DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JOSEPH STOCK DDS (OWNER)
(314) 537-6815
Entity
Organization
Contact information
Practice address
4390 GREEN ASH DR, EARTH CITY, MO 63045-1219
(314) 537-6815
Mailing address
4390 GREEN ASH DR, EARTH CITY, MO 63045-1219
(314) 537-6815
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
2013017372
MO
332B00000X
Durable Medical Equipment & Medical Supplies
2013017372
MO
332BC3200X
Customized Equipment (DME)
Primary
2013017372
MO
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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