| NPI | 1710839394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LYNN ALEXANDER Sole Proprietorship/Owner 949-620-5262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2026-02-13 |
| Last Update Date | 2026-03-02 |