NPI | 1811219637 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFINI STRATTON President/Owner 210-899-6730 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 23428) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2010-02-21 |
Last Update Date | 2025-10-03 |