Organization
CENTER FOR DENTAL SLEEP MEDICINE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELA L CLOSSON (OFFICE MANAGER)
(785) 776-0760
Entity
Organization
Contact information
Practice address
1136 EAST STUART, #3140, FT COLLINS, CO 80525
(855) 774-0760
Mailing address
428 HOUSTON ST, MANHATTAN, KS 66502
(785) 776-0760
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
05754
CO
Other
Enumeration date
04/03/2014
Last updated
04/23/2014
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