Organization
HEAVENLY SLEEP CENTER, LLC
Active
Other names
Hot Smile, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN K WILSON D.D.S. (SOLE MEMBER)
(614) 235-9552
Entity
Organization
Contact information
Practice address
60 S JAMES RD, COLUMBUS, OH 43213-1621
(614) 235-5560
(614) 235-1857
Mailing address
60 S JAMES RD, COLUMBUS, OH 43213-1621
(614) 235-5560
(614) 235-1857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
017498
OH
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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