| NPI | 1093406894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKENNA OKAFOR Managing Member 210-775-2179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2025-05-27 |