| NPI | 1326656349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BURTON FERGUSON Owner 210-725-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2023-10-25 |