Organization
DENTAL SLEEP ALTERNATIVES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL PONCZA DDS, D.ABDSM (PRESIDENT)
(866) 903-0747
Entity
Organization
Contact information
Practice address
502 E STATE ST, SUITE B, GENEVA, IL 60134-2363
(866) 903-0747
(866) 910-6889
Mailing address
502 E STATE ST, SUITE B, GENEVA, IL 60134-2363
(866) 903-0747
(866) 910-6889
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
019026404
IL
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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