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Organization

COASTAL SLEEP SOLLUTIONS LLC

Active
Other names
Coastal Sleep Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIP W. COOPER JR. D.D.S. (CLINACAL DIRECTOR)
(912) 544-0484
Entity
Organization

Contact information

Practice address
413 W DUFFY ST, SAVANNAH, GA 31401-6716
(912) 544-0484
(912) 234-2844
Mailing address
413 W DUFFY ST, SAVANNAH, GA 31401-6716
(912) 544-0484
(912) 234-2844

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
C-A8412
GA
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
04/06/2012
Last updated
04/06/2012
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