| NPI | 1568060481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE KATHARINE BELIER TRUJILLO Owner 949-207-3317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2024-02-04 |