Organization
RENAISSANCE SLEEP SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASILIOS C COSTARAS DDS (OWNER)
(440) 925-5400
Entity
Organization
Contact information
Practice address
2211 CROCKER RD, SUITE 110, WESTLAKE, OH 44145-7602
(440) 925-5400
Mailing address
PO BOX 161031, ROCKY RIVER, OH 44116-7031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18574
OH
Other
Enumeration date
12/10/2009
Last updated
02/09/2014
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