Organization
MZ TMD AND ZZZ LLC
Active
Other names
Lighthouse Sleep Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA ZYK DDS (OWNER)
(636) 390-9991
Entity
Organization
Contact information
Practice address
560 E 14TH ST, WASHINGTON, MO 63090-4535
(636) 390-9991
(636) 390-9985
Mailing address
560 E 14TH ST, WASHINGTON, MO 63090-4535
(636) 390-9991
(636) 390-9985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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