Organization
PA DENTAL SLEEP SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOSEPH BAKER DMD (PRESIDENT)
(724) 847-2860
Entity
Organization
Contact information
Practice address
2400 DARLINGTON RD, BEAVER FALLS, PA 15010-1305
(724) 847-2860
(724) 843-8208
Mailing address
2400 DARLINGTON RD, BEAVER FALLS, PA 15010-1305
(724) 847-2860
(724) 843-8208
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
6000008360
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS030369L
STATE LICENSE
PA
Enumeration date
08/14/2014
Last updated
08/23/2014
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