NPI | 1154632776 |
---|---|
Other Name | FREDDY PLATT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25670) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2010-06-29 |
Last Update Date | 2019-05-30 |