| NPI | 1811219637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFINI STRATTON Owner 210-269-3195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 23428) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2010-02-21 |
| Last Update Date | 2026-04-09 |