Organization
UNITED DENTAL SLEEP MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAGANO DDS (OWNER)
(804) 625-4066
Entity
Organization
Contact information
Practice address
9020 LORTON STATION BLVD UNIT F104, LORTON, VA 22079-4750
(804) 625-4066
(804) 414-7491
Mailing address
5823 SPINNAKER COVE RD, MIDLOTHIAN, VA 23112-2128
(804) 625-4066
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
12/24/2018
Last updated
12/24/2018
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