| NPI | 1356305924 |
|---|---|
| Professional Name | KEITH LASZLO VALACHI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D6487) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OR d6487) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2019-08-27 |