| NPI | 1033916002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA S KHARRAT President 806-544-9876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |