Organization
SLEEP ENHANCEMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER BRUCE GREEN DDS (SLEEP MEDICINE DENTIST)
(507) 437-8009
Entity
Organization
Contact information
Practice address
800 1ST AVE SW, SUITE 111, AUSTIN, MN 55912-2507
(507) 437-8009
Mailing address
800 1ST AVE SW, SUITE 111, AUSTIN, MN 55912-2507
(507) 437-8009
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
D-9111
MN
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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