| NPI | 1518606557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PINGTING ZHOU Managing Member 424-254-4388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2022-05-28 |
| Last Update Date | 2024-08-16 |