| NPI | 1780238089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT GARRETT DUFF Owner 561-340-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2020-07-27 |