| NPI | 1750110581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIANGIAN HU Owner 904-731-2162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |