Organization
ARCH DENTISTRY & SLEEP APNEA CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONU MUTHUVALLIAPPAN DMD (DMD/OWNER)
(636) 489-9330
Entity
Organization
Contact information
Practice address
807 HAZELWEST DR, HAZELWOOD, MO 63042-1748
(314) 764-5312
Mailing address
807 HAZELWEST DR, HAZELWOOD, MO 63042-1748
(314) 764-5312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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