LIFERESTORE MD USA NC1 LLC

WILMINGTON, NC
NPI1417530593
Doing Business AsRESTOREDOC MD
Doing Business AsLIFERESTORE MD USA LLC
Entity TypeOrganization
Authorized ContactBOB OLOVSSON
COO
214-494-8121
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2021-05-05
Last Update Date2021-05-05
Business Address
LIFERESTORE MD USA NC1 LLC
1427 MILITARY CUTOFF RD STE 140
WILMINGTON, NC 28403-3692
Phone number: 214-494-8121
Mailing Address
LIFERESTORE MD USA NC1 LLC
3910 GASTON AVE STE 140
DALLAS, TX 75246-1523
Phone number: 214-494-8121