Organization
SLEEP THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYA BACHOUR DDS (OWNER)
(703) 297-4407
Entity
Organization
Contact information
Practice address
20405 EXCHANGE ST STE 201, ASHBURN, VA 20147-5934
(703) 297-4407
(703) 297-4421
Mailing address
20405 EXCHANGE ST STE 201, ASHBURN, VA 20147-5934
(703) 297-4407
(703) 297-4421
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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