| NPI | 1477264299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HEATH ROBERTS Owner 214-538-8479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2022-12-19 |