Organization
COMMONWEALTH DENTAL SLEEP MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BREEDEN DDS (OWNER)
(804) 748-6433
Entity
Organization
Contact information
Practice address
10601 GREENYARD WAY, CHESTER, VA 23831-1485
(804) 748-6433
Mailing address
10601 GREENYARD WAY, CHESTER, VA 23831-1485
(804) 748-6433
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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