Organization
SERENITY SLEEP LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS NELSON LUDLOW DDS (PRESIDENT)
(916) 932-0048
Entity
Organization
Contact information
Practice address
2304 E BIDWELL ST STE 110, FOLSOM, CA 95630-3455
(916) 932-0048
(916) 932-0049
Mailing address
2304 E BIDWELL ST STE 110, FOLSOM, CA 95630-3455
(916) 932-0048
(916) 932-0049
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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