| NPI | 1477335875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA KIM Owner 919-619-1976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |