| NPI | 1356745632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH W KRAUSS Dentist 661-323-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-22 |