| NPI | 1700569977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MARIE FRASER General Dentist 971-271-7478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-08-11 |