| NPI | 1275072266 |
|---|---|
| Doing Business As | BLUE ANGEL MEDICAL DENTAL CONSULTING |
| Entity Type | Organization |
| Authorized Contact | JENNIFER TODD Owner 270-454-1728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2018-02-17 |