| NPI | 1326500141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH M FISCH Dentist/Owner 028-775-2218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2020-02-27 |