| NPI | 1417683194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PALLAVI SARAF Member/Owner 770-815-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2024-01-25 |