NPI | 1437185626 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA VIGGIANO DENT Insurance Manager 803-796-7840 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 032345445) |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
Enumeration Date | 2006-06-23 |
Last Update Date | 2025-03-13 |