Revive Dental Sleep Solutions, LLC
NPI #1932834454 in Everett, Washington
Provider Information
- NPI Number
- 1932834454
- Entity Type
- Organization
- Organization Name
- Revive Dental Sleep Solutions, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 19, 2022
- Last Updated
- Aug 1, 2022
Practice Location
- Address
- 2121 MADISON ST STE A
- City
- Everett
- State
- Washington
- ZIP Code
- 98203-5375
- Phone
- (425) 353-5854
Authorized Official
- Name
- DR. HEIDI R JOHNSON, DE60579213
- Title
- DENTIST
- Phone
- (425) 353-5854
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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