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Organization

SLEEP WELL OKLAHOMA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAMELIYA CHERVILOV DDS (OWNER)
(405) 588-2368
Entity
Organization

Contact information

Practice address
3621 NW 63RD ST STE C, OKLAHOMA CITY, OK 73116-2041
(405) 848-8839
Mailing address
3621 NW 63RD ST STE C, OKLAHOMA CITY, OK 73116-2041
(405) 848-8839

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7038
LICENSE
OK
Enumeration date
04/29/2022
Last updated
04/29/2022
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