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Organization

RESTFUL SLEEP PLUS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN LEE BOUZIS DDS (SOLE MEMBER)
(307) 265-3595
Entity
Organization

Contact information

Practice address
130 N ASH ST, SUITE 202, CASPER, WY 82601-1821
(307) 265-3595
(307) 265-0778
Mailing address
130 N ASH ST, SUITE 202, CASPER, WY 82601-1821
(307) 265-3595
(307) 265-0778

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
104611
WY
332BC3200X
Customized Equipment (DME)
Primary
104611
WY

Other

Enumeration date
08/31/2015
Last updated
08/31/2015
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