| NPI | 1124505581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NII NORTE LOKKO Owner 076-465-2972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ME DEN4340) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |