| NPI | 1568086882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TOZZER Owner 949-857-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2023-06-26 |