Organization
SLEEP APNEA TREATMENT CENTRE OF AMERICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT A BRADFORD DDS (PRESIDENT)
(315) 882-5042
Entity
Organization
Contact information
Practice address
5100 W TAFT RD STE 4N, LIVERPOOL, NY 13088-3807
(315) 458-8844
Mailing address
5068 PINE VALLEY DR, FAYETTEVILLE, NY 13066-9723
(315) 882-5042
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
048823
NY
332BC3200X
Customized Equipment (DME)
Primary
048823
NY
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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