NPI | 1316604275 |
---|---|
Entity Type | Organization |
Authorized Contact | HANIEL ROSEMOND Owner 973-762-2660 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2021-11-26 |
Last Update Date | 2021-11-26 |