Organization
DENTAL SLEEP SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN DAMARIS BOTERO-NEBEL DMD (OWNER)
(718) 984-1729
Entity
Organization
Contact information
Practice address
337 HAMPTON GRN, STATEN ISLAND, NY 10312-1722
(718) 984-1720
Mailing address
337 HAMPTON GRN, STATEN ISLAND, NY 10312-1722
(718) 984-1720
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
09/20/2019
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