| NPI | 1548759301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT K SCHAFFER Owner 858-481-1148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2019-04-10 |