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Organization

VIRGINIA TOTAL SLEEP PLLC

Active
Parent organization
VIRGINIA TOTAL SLEEP PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
VIRGINIA TOTAL SLEEP PLLC
Authorized official
ALEXANDER THOMAS VAUGHAN (MANAGING MEMBER)
(616) 540-7605
Entity
Organization

Contact information

Practice address
2354 COLONY CROSSING PL, MIDLOTHIAN, VA 23112-4280
(804) 625-4064
(804) 625-4066
Mailing address
10120 W BROAD ST STE I, GLEN ALLEN, VA 23060-6709
(804) 625-4064
(804) 625-4066

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223X2210X
Orofacial Pain Dentistry
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
03/30/2023
Last updated
03/30/2023
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