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 |