| NPI | 1013697523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUAYU STEVEN LIAO Owner 862-247-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-10-23 |