| NPI | 1295377893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA JOE ROCKEY Owner 949-558-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2022-10-03 |