NPI | 1477320992 |
---|---|
Doing Business As | DANIEL & MAX |
Entity Type | Organization |
Authorized Contact | KIRSTEN PIPHER CANTRELL Credentialing Manager 561-208-8464 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2023-12-05 |
Last Update Date | 2023-12-05 |