Provider Demographics
NPI:1184077315
Name:DREAM SERVICES INC
Entity type:Organization
Organization Name:DREAM SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LANE
Authorized Official - Last Name:GRAVES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-908-0723
Mailing Address - Street 1:977 ELKHART PL APT 1
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:CA
Mailing Address - Zip Code:90291-6542
Mailing Address - Country:US
Mailing Address - Phone:214-908-0723
Mailing Address - Fax:866-282-5488
Practice Address - Street 1:977 ELKHART PL APT 1
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:CA
Practice Address - Zip Code:90291-6542
Practice Address - Country:US
Practice Address - Phone:214-908-0723
Practice Address - Fax:866-282-5488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-22
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty