Organization
ORAL SLEEP APPLIANCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD LEON COOK D.D.S. (OWNER)
(817) 441-2674
Entity
Organization
Contact information
Practice address
4750 BRYANT IRVIN RD, 823, FORT WORTH, TX 76132-3633
(817) 441-2674
(817) 441-2694
Mailing address
4750 BRYANT IRVIN RD, 823, FORT WORTH, TX 76132-3633
(817) 441-2674
(817) 441-2694
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
15778
TX
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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