Organization
MEDDOC CENTRAL LLC
Active
Other names
Dental Sleep Solutions of Delaware
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GVODAS JR. (MANAGER)
(484) 390-0378
Entity
Organization
Contact information
Practice address
5912 RIDGE AVE, PHILADELPHIA, PA 19128-1639
(484) 390-0378
Mailing address
PO BOX 112, FAIRPLAY, MD 21733-0112
(301) 573-6858
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
G1-0001317
DE
Other
Enumeration date
07/20/2017
Last updated
09/13/2018
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