Organization
ABSOLUTE SLEEP TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE SPALDING KIMBALL III D.D.S. (OWNER/DENTIST)
(928) 718-0002
Entity
Organization
Contact information
Practice address
2065 AIRWAY AVE, SUITE B, KINGMAN, AZ 86409-3656
(928) 718-0002
(928) 718-0007
Mailing address
2065 AIRWAY AVE, SUITE B, KINGMAN, AZ 86409-3656
(928) 718-0002
(928) 718-0007
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
4670
AZ
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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