NPI | 1497327787 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEJANDRO ECHEVERRY Owner 626-792-6344 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2021-07-15 |
Last Update Date | 2021-07-15 |