NPI | 1376157917 |
---|---|
Other Name | BROOKWOOD DENTISTRY |
Entity Type | Organization |
Authorized Contact | BRANDON LEE ESCO Owner 706-224-3564 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2020-09-01 |
Last Update Date | 2023-11-27 |