Organization
DENTAL, SLEEP, AND MIGRAINE TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT S. REDMON (PRESIDENT / OWNER)
(765) 463-7311
Entity
Organization
Contact information
Practice address
510 W NAVAJO ST, WEST LAFAYETTE, IN 47906-1999
(765) 463-7311
(765) 464-8364
Mailing address
PO BOX 2239, WEST LAFAYETTE, IN 47996
(765) 463-7311
(765) 464-8364
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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