NPI | 1023882149 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN MIYASAKI Owner 925-934-3251 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2023-11-09 |
Last Update Date | 2023-11-09 |