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Organization

SLEEP WELL IDAHO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MONTE CARLSON DDS (DENTIST)
(435) 881-7270
Entity
Organization

Contact information

Practice address
199 QUAIL HOLLOW RD, LOGAN, UT 84321-6750
(435) 881-7270
Mailing address
199 QUAIL HOLLOW RD, LOGAN, UT 84321-6750
(435) 881-7270

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
332BC3200X
Customized Equipment (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H04018
N/A
UT
Enumeration date
05/29/2018
Last updated
05/29/2018
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