Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Oral and Maxillofacial Surgery |
261QS0112X |
| NPI Number | 1427985225 |
| LBN Legal business name | SURGICAL & SLEEP SOLUTIONS PLLC |
| Authorized official | SHAUNDA KELLY - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/06/2026 |
| Last updated | 05/06/2026 - About a month ago |
| Identifiers | n/a |
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