Organization
COLORADO SLEEP DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN WILK DDS (OWNER)
(303) 758-4865
Entity
Organization
Contact information
Practice address
3540 S POPLAR ST, 301, DENVER, CO 80237-1360
(303) 758-2980
(303) 756-8551
Mailing address
3540 S POPLAR STREET, 301, DENVER, CO 80237
(303) 758-2980
(303) 756-8551
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
104945
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104945
DENTAL
CO
Enumeration date
08/28/2014
Last updated
08/28/2014
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