| NPI | 1811219637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFINI STRATTON Owner 210-899-6730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 23428) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2010-02-21 |
| Last Update Date | 2023-12-28 |