Provider Demographics
NPI:1972900942
Name:CENTER FOR TREATMENT OF SNORING AND SLEEP APNEA
Entity Type:Organization
Organization Name:CENTER FOR TREATMENT OF SNORING AND SLEEP APNEA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:RIOUX
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:253-857-6778
Mailing Address - Street 1:4904 BORGEN BLVD NW STE A
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-5723
Mailing Address - Country:US
Mailing Address - Phone:253-857-6778
Mailing Address - Fax:253-857-1030
Practice Address - Street 1:4904 BORGEN BLVD NW STE A
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-5723
Practice Address - Country:US
Practice Address - Phone:253-857-6778
Practice Address - Fax:253-857-1030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA8549122300000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty