| NPI | 1144523044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL H. HIERS Dentist/Owner 410-228-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MD 07519) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |