Sleep Well Idaho LLC

NPI #1821589516 in Logan, Utah

Provider Information

NPI Number: 1821589516
Entity Type: Organization
Organization Name: Sleep Well Idaho LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: May 29, 2018
Last Updated: May 29, 2018

Practice Location

Address: 199 QUAIL HOLLOW RD
City: Logan
State: Utah
ZIP Code: 84321-6750
Phone: (435) 881-7270

Authorized Official

Name: DR. MONTE CARLSON, DDS
Title: DENTIST
Phone: (435) 881-7270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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