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Organization

CENTRAL ILLINOIS DENTAL SLEEP CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRAIG OSBORNE DMD (OWNER)
(217) 546-0351
Entity
Organization

Contact information

Practice address
2501 W ILES AVE STE B, SPRINGFIELD, IL 62704-6482
(217) 546-0351
(217) 698-1638
Mailing address
2501 W ILES AVE STE B, SPRINGFIELD, IL 62704-6482
(217) 546-0351
(217) 698-1638

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
07/31/2024
Last updated
07/31/2024
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