| NPI | 1124886916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN MOBILIA Owner 844-732-8475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-04-02 |