| NPI | 1467232504 |
|---|---|
| Doing Business As | DEGENHARDT DENTAL |
| Entity Type | Organization |
| Authorized Contact | THEODORE L. DEGENHARDT Owner 248-643-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-11-20 |