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 |