| NPI | 1629940275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN AL MAGHAZCHI Owner 954-589-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |