Shoreline Dental Sleep Therapy, LLC

NPI #1891135109 in Branford, Connecticut

Provider Information

NPI Number: 1891135109
Entity Type: Organization
Organization Name: Shoreline Dental Sleep Therapy, LLC
Primary Specialty: Dentist
Enumeration Date: Jul 1, 2013
Last Updated: Jul 1, 2013

Practice Location

Address: 5 S MAIN ST
City: Branford
State: Connecticut
ZIP Code: 06405-3800
Phone: (203) 481-3973

Authorized Official

Name: DR. RONALD J BAILEY, DMD
Title: MANAGER
Phone: (203) 481-3973

Specialties & Taxonomy Codes

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

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