| NPI | 1639732100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW CRAFT Owner 205-991-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-04-19 |