Organization
TLC SLEEP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON WILSON DDS (PRESIDENT)
(602) 320-4466
Entity
Organization
Contact information
Practice address
18325 N ALLIED WAY, SUITE 115, PHOENIX, AZ 85054-3105
(602) 320-4466
Mailing address
18325 N ALLIED WAY, SUITE 115, PHOENIX, AZ 85054-3105
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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