Provider Demographics
NPI:1184074882
Name:SNORING AND SLEEP APNEA CARE LLC
Entity type:Organization
Organization Name:SNORING AND SLEEP APNEA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLO MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA ANGELA
Authorized Official - Middle Name:V
Authorized Official - Last Name:CANCADO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-539-6900
Mailing Address - Street 1:ZERO GOVERNORS AVE 20-21
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-3025
Mailing Address - Country:US
Mailing Address - Phone:781-539-6900
Mailing Address - Fax:781-539-6901
Practice Address - Street 1:ZERO GOVERNORS AVE 20-21
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-3025
Practice Address - Country:US
Practice Address - Phone:781-539-6900
Practice Address - Fax:781-539-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN205881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty