| NPI | 1417591561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS ONZELO HAYSLIP CEO/President/Owner 478-929-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |