NPI | 1083238786 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELBY JOEL DENMAN Owner 904-527-1275 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2020-05-29 |
Last Update Date | 2020-07-17 |