Organization
SHORELINE DENTAL SLEEP THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J BAILEY DMD (MANAGER)
(203) 481-3973
Entity
Organization
Contact information
Practice address
5 S MAIN ST, BRANFORD, CT 06405-3800
(203) 481-3973
(203) 488-4136
Mailing address
5 S MAIN ST, BRANFORD, CT 06405-3800
(203) 481-3973
(203) 488-4136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5366
CT
332BC3200X
Customized Equipment (DME)
5366
CT
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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