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Organization

TMJ & SLEEP CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL T O'DONNELL DMD (OWNER)
(850) 622-4000
Entity
Organization

Contact information

Practice address
6757 US HIGHWAY 98 W STE 302, SANTA ROSA BEACH, FL 32459-4780
(850) 622-5888
Mailing address
6757 US HIGHWAY 98 W STE 301, SANTA ROSA BEACH, FL 32459-4780
(850) 622-5888

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
01/30/2019
Last updated
01/30/2019
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